Active NPI
Alan Gamble
- Home Modifications Contractor
- Jackson, NJ
National Provider Identifier
1043940208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 13VH10769700
- Practice address
- 25 Carlisle Dr
Jackson, NJ 08527-6304 - Phone
- (732) 742-6164
- NPI assigned
- Jun 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 13VH10769700 | NJ | Primary |
Addresses
Primary practice location
25 Carlisle Dr
Jackson, NJ 08527-6304
Mailing address
25 Carlisle Dr
Jackson, NJ 08527-6304
Phone (732) 742-6164
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | newjersey.handypro.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13VH10769700 | NJ | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654992000000",
"number": "1043940208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CARLISLE DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085276304",
"telephone_number": "732-742-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CARLISLE DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085276304",
"telephone_number": "732-742-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-12",
"last_updated": "2022-06-12",
"certification_date": "2022-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NJ",
"license": "13VH10769700",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "newjersey.handypro.com",
"affiliation": "N",
"address_1": "25 Carlisle Dr",
"city": "Jackson",
"state": "NJ",
"country_code": "US",
"postal_code": "085276304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.