Individual provider Active NPI

George Jay Vanseters, DC

  • Chiropractor
  • Pequannock, NJ
National Provider Identifier
1275652828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3223 Issued in NJ
Practice address
40 Newark Pompton Tpke
Pequannock, NJ 07440-1623
Phone
(973) 694-3209
Fax
(973) 872-9909
NPI assigned
Mar 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3223 NJ Primary

Addresses

Primary practice location

40 Newark Pompton Tpke
Pequannock, NJ 07440-1623

Mailing address

40 Newark Pompton Tpke
Pequannock, NJ 07440-1623
Phone (973) 694-3209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000532 NJ Practitioner - Chiropractic 2365602406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pequannock Chiropractic CorpGroup PAC ID 3476044405, 3 clinicians

Practice addresses (Care Compare)

40 Newark Pompton Tpke
Pequannock, NJ 07440-1623
Phone (973) 694-3209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3223NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Merritt Chiropractic Office P.a. Chiropractor CurrentSince Jan 28, 2012 Accepting new patients
Pequannock Chiropractic Corp Chiropractor CurrentSince Oct 9, 2025 Accepting new patients

Locations

40 Turnpike
Pequannock, NJ 07440
Phone (973) 694-3209

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275652828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NEWARK POMPTON TPKE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401623",
            "telephone_number": "973-694-3209",
            "fax_number": "973-872-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NEWARK POMPTON TPKE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401623",
            "telephone_number": "973-694-3209",
            "fax_number": "973-872-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSETERS",
        "first_name": "GEORGE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pequannock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.