Old Tappan Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00582100 Issued in NJ

Legal business name

OLD TAPPAN CHIROPRACTIC, PA

Practice address

1 Dewolf Rd Ste 208
Old Tappan, NJ 07675

Phone

(201) 497-6612

Fax

(201) 497-6614

NPI assigned

Jan 30, 2007

Last updated

May 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary John Larocca, D.C.NPI 1922177922

Title

Owner

Phone

(201) 497-6612

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary John Larocca, D.C.

  • Chiropractor
  • Old Tappan, NJ
  • NPI 1922177922
  Medicare reassignment Authorized official
• Tara Jeanine Gnagnarelli, LMT

  • Massage Therapist
  • Old Tappan, NJ
  • NPI 1114717527
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1215073515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD STE 208",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757084",
            "telephone_number": "201-497-6612",
            "fax_number": "201-497-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD STE 208",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-497-6612",
            "fax_number": "201-497-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TAPPAN CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "LAROCCA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-497-6612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00582100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donna Gabriella Nucera, LAC
• Olubunmi E Okunlola, MD
• Old Tappan Medical Group Dept of Internal Medicine, LLC
• Old Tappan Medical Group, PA
• Old Tappan Pediatrics
• Olakunle Kayode Oluwole, M.D.
• Ozzy Sanchez, LCSW (theSTARTinstitute)

• Chiropractor in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.