Organization Active NPI

Gina M. Poletti Leckburg,D.C.

  • Chiropractor
  • Hillsborough, NJ
National Provider Identifier
1154589000
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC002471 Issued in NJ
Legal business name
GINA M. POLETTI LECKBURG,D.C.
Practice address
648 US Highway 206 South
Hillsborough, NJ 08844-1511
Phone
(908) 874-5402
Fax
(908) 874-0651
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. Gina M. Poletti Leckburg, D.C.NPI 1558404848
Title
Chiropractor/Owner
Phone
(908) 874-5402

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 MC002471 NJ Primary

Addresses

Primary practice location

648 US Highway 206 South
Hillsborough, NJ 08844-1511

Mailing address

648 US Highway 206 South
Hillsborough, NJ 08844-1511
Phone (908) 874-5402

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1154589000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 US HIGHWAY 206 SOUTH",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441511",
            "telephone_number": "908-874-5402",
            "fax_number": "908-874-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 US HIGHWAY 206 SOUTH",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441511",
            "telephone_number": "908-874-5402",
            "fax_number": "908-874-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA M. POLETTI LECKBURG,D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "POLETTI LECKBURG",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "908-874-5402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC002471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.