Organization Active NPI

Pagano Chiropractic Center PC

  • Chiropractor
  • Pennington, NJ
National Provider Identifier
1336393255
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3MC00496700 Issued in NJ
Legal business name
PAGANO CHIROPRACTIC CENTER PC
Practice address
2 Tree Farm Rd Ste B220
Pennington, NJ 08534-1488
Phone
(609) 730-1970
Fax
(609) 730-1972
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Vito Pagano, DCNPI 1104823293
Title
Owner
Phone
(609) 730-1970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3MC00496700 NJ Primary

Addresses

Primary practice location

2 Tree Farm Rd Ste B220
Pennington, NJ 08534-1488

Mailing address

2 Tree Farm Rd Ste B220
Pennington, NJ 08534-1488
Phone (609) 730-1970

Other identifiers 1

IdentifierTypeStateIssuer
8140006MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081106000126 NJ Part B Supplier - Clinic/Group Practice 1355400383 Receives reassigned benefits from 1 practitioner
Practice locations: Pennington, NJ

National Provider Directory

National Provider Directory

Locations

2 Tree Farm Rd
Ste B210
Pennington, NJ 08534
Phone (609) 730-1970

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1336393255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TREE FARM RD STE B220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341488",
            "telephone_number": "609-730-1970",
            "fax_number": "609-730-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TREE FARM RD STE B220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341488",
            "telephone_number": "609-730-1970",
            "fax_number": "609-730-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGANO CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "VITO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-730-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3MC00496700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8140006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.