Individual provider Active NPI

Vito Pagano, D.C.

  • Chiropractor
  • Pennington, NJ
National Provider Identifier
1104823293
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00496700 Issued in NJ
Practice address
2 Tree Farm Rd Ste B220
Pennington, NJ 08534-1488
Phone
(609) 730-1970
Fax
(609) 730-1972
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00496700 NJ Primary

Addresses

Primary practice location

2 Tree Farm Rd Ste B220
Pennington, NJ 08534-1488

Mailing address

2 Tree Free Rd Ste B220
Pennington, NJ 08534
Phone (609) 730-1970

Other identifiers 1

IdentifierTypeStateIssuer
8140006MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000113 NJ Practitioner - Chiropractic 1557420585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Tree Farm Rd
Suite B210
Pennington, NJ 08534-1466
Phone (609) 730-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00496700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pagano Chiropractic Center PC Chiropractor CurrentSince Sep 9, 1996 Accepting new patients
Carenet Counseling PastSince Jan 1, 2024 Accepting new patients

Locations

2 Tree Farm Rd
Ste B210
Pennington, NJ 08534
Phone (609) 730-1970

2 Tree Farm Rd
Ste B220
Pennington, NJ 08534
Phone (609) 730-1970

Organizations & group practices 2

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1104823293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TREE FREE RD STE B220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-730-1970",
            "fax_number": "609-730-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TREE FARM RD STE B220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341488",
            "telephone_number": "609-730-1970",
            "fax_number": "609-730-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "VITO",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00496700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8140006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.

Verify at the official NPI Registry.