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Organization Active NPI

Gaccione Chiropractic Ctr PA

Doing business as Clinton Street Chiropractic Center

  • Chiropractor
  • Newark, NJ
National Provider Identifier
1235177130
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04690 Issued in NJ
Legal business name
GACCIONE CHIROPRACTIC CTR PA
Doing business as
Clinton Street Chiropractic Center
Practice address
26 Clinton Street
Newark, NJ 07102
Phone
(973) 624-4000
Fax
(973) 624-1212
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Scott Gaccione, DC
Title
Owner Chiropractor
Phone
(973) 624-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC04690 NJ Primary

Addresses

Primary practice location

26 Clinton Street
Newark, NJ 07102

Mailing address

PO Box 43508
Upper Montclair, NJ 07043
Phone (973) 624-4000

Other names 1

  • Clinton Street Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

26 Clinton St
Newark, NJ 07102
Phone (973) 624-4000

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235177130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43508",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "07043",
            "telephone_number": "973-624-4000",
            "fax_number": "973-624-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CLINTON STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-624-4000",
            "fax_number": "973-624-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GACCIONE CHIROPRACTIC CTR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GACCIONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "973-624-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Street Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.