Individual provider Active NPI

Gregory Samuel Cortina, D.C.

  • Chiropractor
  • Hamilton, NJ
National Provider Identifier
1366717993
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC2182 Issued in NJ
Practice address
1245 Whitehorse Mercerville Rd
Suite 409
Hamilton, NJ 08619-3831
Phone
(609) 585-6100
Fax
(609) 581-2103
NPI assigned
Mar 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC2182 NJ Primary

Addresses

Primary practice location

1245 Whitehorse Mercerville Rd
Suite 409
Hamilton, NJ 08619-3831

Mailing address

1245 Whitehorse Mercerville Rd
Suite 409
Hamilton, NJ 08619-3831
Phone (609) 585-6100

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
MC2182NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wellness, P.a. Chiropractor Past Accepting new patients
Suburban Rehab LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1366717993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 409",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-585-6100",
            "fax_number": "609-581-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 409",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-585-6100",
            "fax_number": "609-581-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTINA",
        "first_name": "GREGORY",
        "middle_name": "SAMUEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.