Active NPI
Steven J Gutkin, DC CCSP
- Chiropractor
- Hackettstown, NJ
National Provider Identifier
1053335539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00474200
- Practice address
- 254 B Mountain Ave
Suite 101
Hackettstown, NJ 07840 - Phone
- (908) 852-4321
- Fax
- (908) 852-5564
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00474200 | NJ | Primary |
Addresses
Primary practice location
254 B Mountain Ave
Suite 101
Hackettstown, NJ 07840
Mailing address
254 B Mountain Ave
Suite 101
Hackettstown, NJ 07840
Phone (908) 852-4321
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300232 | Other | ASHN | |
| 9539201 | Other | GHI | |
| 10657938 | Other | CAQH | |
| 867576M0D | Other | EMPIRE MEDICARE | |
| 9264392001 | Other | CIGNA | |
| 0981933000 | Other | AMERIHEALTH HMO | |
| X5B351 | Other | BEECHSTREET | |
| 01000348600 | Other | AMERICHOICE | |
| 5086081 | Other | FIRST HEALTH | |
| 5371154 | Other | AETNA | |
| 1141015 | Other | HORIZON NJ HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
254 B Mountain Ave
Suite 101
Hackettstown, NJ 07840-2413
Phone (908) 852-4321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Wellness & Rehab | Chiropractor | Current | Accepting new patients |
Locations
254B Mountain Ave
Ste 101
Hackettstown, NJ 07840
Phone (908) 852-4321
Organizations & group practices 1
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.
-
- Chiropractor
- Hackettstown, NJ
- NPI 1023290699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053335539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 B MOUNTAIN AVE",
"address_2": "SUITE 101",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "07840",
"telephone_number": "908-852-4321",
"fax_number": "908-852-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 B MOUNTAIN AVE",
"address_2": "SUITE 101",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "07840",
"telephone_number": "908-852-4321",
"fax_number": "908-852-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTKIN",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC CCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00474200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "300232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9539201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10657938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE",
"identifier": "867576M0D",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9264392001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0981933000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "X5B351",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000348600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5086081",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5371154",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1141015",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.