Gary R. Spencer, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

MC0181900 Issued in NJ

Practice address

30 Highway 34 N
Colts Neck, NJ 07722-0538

Phone

(732) 462-0049

Fax

(732) 462-0059

NPI assigned

Jan 30, 2006

Last updated

Dec 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Colts Neck Chiropractic Center

  • Chiropractor
  • Colts Neck, NJ
  • NPI 1093982670
  NPD (past) Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1043281728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 538",
            "address_2": "COLTS NECK SHOP CTR",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220538",
            "telephone_number": "732-462-0049",
            "fax_number": "732-462-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HIGHWAY 34 N",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220538",
            "telephone_number": "732-462-0049",
            "fax_number": "732-462-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "GARY",
        "middle_name": "R.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "MC0181900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon P Smith, LSW, LCADC
• Patricia Sobal, MSED
• Beth Sobol, MSW
• Dana Spada, PHD, LCSW
• Speech Services for You
• Marielle Spero
• Spinella Health and Wellness Solutions, PC
• Christopher J Spinella, DC
• Ssny Cares LLC
• Kelly Stanford, RDH

• Sports Physician Chiropractor in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.