Active NPI
Gary Desmond Knight, D.C., P.T.
- Rehabilitation Chiropractor
- Merchantville, NJ
National Provider Identifier
1093907420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 38MC00469900
- Practice address
- 107 W Maple Ave
Merchantville, NJ 08109-2038 - Phone
- (856) 910-0495
- Fax
- (856) 910-0193
- NPI assigned
- Aug 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 38MC00469900 | NJ | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 40QA00149600 | NJ |
Addresses
Primary practice location
107 W Maple Ave
Merchantville, NJ 08109-2038
Mailing address
107 W Maple Ave
Merchantville, NJ 08109-2038
Phone (856) 910-0495
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 |
|---|---|---|---|
| 38MC00469900 | NJ | MD | Rehabilitation Chiropractor |
| 40QA00149600 | NJ | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1093907420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W MAPLE AVE",
"city": "MERCHANTVILLE",
"state": "NJ",
"postal_code": "081092038",
"telephone_number": "856-910-0495",
"fax_number": "856-910-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W MAPLE AVE",
"city": "MERCHANTVILLE",
"state": "NJ",
"postal_code": "081092038",
"telephone_number": "856-910-0495",
"fax_number": "856-910-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "GARY",
"middle_name": "DESMOND",
"name_prefix": "Dr.",
"credential": "D.C., P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "38MC00469900",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA00149600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merchantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.