Individual provider Active NPI

Louis A Gregory, D.C., L.A.C

  • Chiropractor
  • Summit, NJ
National Provider Identifier
1063435857
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00621600 Issued in NJ
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

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
X008300OtherNYNEWYORK 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

LicenseStateTypeSpecialty
DC24964CAMDChiropractor
38MC00621600NJMDChiropractor
X008300-1NYMDChiropractor
AC 16353CAMDAcupuncturist
25MZ00108500NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Denville Medical Health Center & Sports Rehab P.C. Chiropractor PastSince Jan 1, 2003 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.

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.

Verify at the official NPI Registry.