Richard M. Gill, D.C. L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00601264 Issued in NJ

Legal business name

RICHARD M. GILL, D.C. L.L.C.

Practice address

312 Morris Ave
Spring Lake, NJ 07762-1339

Phone

(732) 974-7755

Fax

(732) 974-8946

NPI assigned

May 4, 2012

Organization subpart

No

Name

Dr. Lauren Gill-Hayser, D.C.

Title

Manager

Phone

(732) 974-7755

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard M Gill, D.C.

  • Chiropractor
  • Spring Lake, NJ
  • NPI 1437278678

  Chiropractor, NJ

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in NJ

Locations

• Gill Chiropractic by the sea Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2012.

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1134488653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MORRIS AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621339",
            "telephone_number": "732-974-7755",
            "fax_number": "732-974-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MORRIS AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621339",
            "telephone_number": "732-974-7755",
            "fax_number": "732-974-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. GILL, D.C. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "GILL-HAYSER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-974-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00601264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gill Chiropractic by the sea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Spring Lake, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.

Verify at the official NPI Registry.