NPIMap

Organization Active NPI

Roman Gont DC PC

  • Chiropractor
  • Fair Lawn, NJ
National Provider Identifier
1063600690
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00573700 Issued in NJ
Legal business name
ROMAN GONT DC PC
Practice address
13-51 River Rd
Suite B
Fair Lawn, NJ 07410-1837
Phone
(201) 398-0020
Fax
(201) 398-0029
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Roman Gont, DCNPI 1760594576
Title
Chiropractor
Phone
(201) 398-0020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00573700 NJ Primary

Addresses

Primary practice location

13-51 River Rd
Suite B
Fair Lawn, NJ 07410-1837

Mailing address

13-51 River Rd
Suite B
Fair Lawn, NJ 07410-1837
Phone (201) 398-0020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1063600690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-51 RIVER RD",
            "address_2": "SUITE B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101837",
            "telephone_number": "201-398-0020",
            "fax_number": "201-398-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-51 RIVER RD",
            "address_2": "SUITE B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101837",
            "telephone_number": "201-398-0020",
            "fax_number": "201-398-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN GONT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "GONT",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "201-398-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00573700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.