Nicole Psota

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00784400 Issued in NJ

Practice address

251 Rock Rd
Glen Rock, NJ 07452-1745

Phone

(201) 670-7661

NPI assigned

Jul 16, 2021

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psota Chiropractic Care and Wellness PC

  • Chiropractor
  • Glen Rock, NJ
  • NPI 1215682018
  Medicare reassignment NPD Authorized official
• Dr. Michael C. Stewart, PC

  • Chiropractor
  • Glen Rock, NJ
  • NPI 1841594488
  NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1215509328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RAVINE DR",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062218",
            "telephone_number": "973-224-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521745",
            "telephone_number": "201-670-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSOTA",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00784400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn David Prettitore, MSPT
• Professional Occupational & Physical Therapy, PLLC
• Progressive Spine & Orthopaedics, LLC (Glen Rock Spine & Rehab)
• Progressive Spine and Sports Medicine
• Psota Chiropractic Care and Wellness PC
• Jacqueline Gill Pucci, LPC
• Maralynn Radin, OPTICIAN
• Raluca Radulescu-Marino, M.D.
• Julian Rapaport, PH.D.
• Reed Next, Inc.

• Chiropractor in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.