Kevin A. Gall, DC
Individual provider Active NPI Chiropractor · Green Brook, NJ
NPI 1043324205 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1043324205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- MC03899 (NJ)
- Practice address
- 309 Rock Ave
Green Brook, NJ 08812-2616 - Phone
- (732) 968-3900
- Fax
- (732) 968-3944
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
309 Rock Ave
Green Brook, NJ 08812-2616
Phone (732) 968-3900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071227000020 | NJ | Practitioner - Chiropractic | 0143310417 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC03899 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gall & Casterline PC | Chiropractor | Current |
Accepting new patients |
Locations
309 Rock Ave
Green Brook, NJ 08812
Phone (732) 968-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC03899 | NJ | Yes |
Addresses
Primary practice location
309 Rock Ave
Green Brook, NJ 08812-2616
Mailing address
20 Deer Path Cir
Green Brook, NJ 08812-2048
Phone (908) 510-8051
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541472 | Other | NJ | AETNA ID |
| P406638 | Other | NJ | INSURANCE ID OXFORD |
| 0454734000 | Other | NJ | AMERIHEALTH ID |
Other providers in Green Brook, NJ
- Allyssa Finer
- Cristiana Formica
- Ronald M. Frank
- Lester Frankel
- Gall & Casterline PC
- Elvira A. Garcia
- Get Physical, LLC
- Alisa Margaret Ghanaim
- Andrew Godenick
- Green Brook Family Dentalcare LLC
All providers in Green Brook, NJ · Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.