Individual provider Active NPI

Brett Wayne Gewant, D.C.

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1285815431
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC003894 Issued in NJ
Practice address
229 Dayton Ave
Clifton, NJ 07011-1551
Phone
(973) 478-2121
Fax
(973) 478-1311
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 38MC003894 NJ Primary

Addresses

Primary practice location

229 Dayton Ave
Clifton, NJ 07011-1551

Mailing address

229 Dayton Ave
Clifton, NJ 07011-1551
Phone (973) 478-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC003894NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1285815431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 DAYTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111551",
            "telephone_number": "973-478-2121",
            "fax_number": "973-478-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 DAYTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111551",
            "telephone_number": "973-478-2121",
            "fax_number": "973-478-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEWANT",
        "first_name": "BRETT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC003894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.