Active NPI
Louis A Gregory, D.C., L.A.C
- Chiropractor
- Summit, NJ
National Provider Identifier
1063435857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00621600
- Practice address
- 851 Springfield Ave
15 E
Summit, NJ 07901-1138 - Phone
- (908) 374-9399
- NPI assigned
- Jul 25, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00621600 | NJ | Primary |
| Chiropractor | 111N00000X | X008300-1 | NY | |
| Chiropractor | 111N00000X | DC24964 | CA | |
| Acupuncturist | 171100000X | 25MZ00108500 | NJ | |
| Acupuncturist | 171100000X | AC 16353 | CA |
Addresses
Primary practice location
851 Springfield Ave
15 E
Summit, NJ 07901-1138
Mailing address
851 Springfield Ave
15 E
Summit, NJ 07901-1138
Phone (908) 374-9399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X008300 | Other | NY | NEWYORK LICENSE# |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC24964 | CA | MD | Chiropractor |
| 38MC00621600 | NJ | MD | Chiropractor |
| X008300-1 | NY | MD | Chiropractor |
| AC 16353 | CA | MD | Acupuncturist |
| 25MZ00108500 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denville Medical Health Center & Sports Rehab P.C. | Chiropractor | Past | Accepting new patients |
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
- Denville, NJ
- NPI 1003836420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1063435857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 SPRINGFIELD AVE",
"address_2": "15 E",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011138",
"telephone_number": "908-374-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 SPRINGFIELD AVE",
"address_2": "15 E",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011138",
"telephone_number": "908-374-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "LOUIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C., L.A.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00621600",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008300-1",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24964",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00108500",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 16353",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEWYORK LICENSE#",
"identifier": "X008300",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.