Active NPI
Gerard Lowder, DC
- Chiropractor
- Middletown, NJ
National Provider Identifier
1124635552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00258600
- Practice address
- 107 Tindall Rd
Middletown, NJ 07748-2321 - Phone
- (732) 546-2980
- NPI assigned
- Sep 29, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00258600 | NJ | Primary |
Addresses
Primary practice location
107 Tindall Rd
Middletown, NJ 07748-2321
Mailing address
11 Robert Rd
Hazlet, NJ 07730-2025
Phone (732) 264-4989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201023000303 | NJ | Practitioner - Chiropractic | 8022438456 | Practice locations: Middletown, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1124635552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROBERT RD",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077302025",
"telephone_number": "732-264-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 TINDALL RD",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077482321",
"telephone_number": "732-546-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWDER",
"first_name": "GERARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00258600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.