Gregory J Serge, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

FI0000471 Issued in DE

Practice address

1101 Twin C LN Ste 201
Newark, DE 19713-2159

Phone

(302) 892-9355

Fax

(302) 892-3494

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diamond State Chiropractic, P.a.Group PAC ID 5991769077, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diamond State Chiropractic PA

  • Chiropractor
  • Newark, DE
  • NPI 1952346538
  Medicare reassignment Care Compare group NPD
• Hockessin Chiropractic Centre

  • Chiropractor
  • Hockessin, DE
  • NPI 1649212929
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1033166707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TWIN C LN STE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132159",
            "telephone_number": "302-892-9355",
            "fax_number": "302-892-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TWIN C LN STE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132159",
            "telephone_number": "302-892-9355",
            "fax_number": "302-892-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGE",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007651L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "FI0000471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Newark, DE
• Providers in Newark, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.