Individual provider Active NPI

Susan Giacalone, D.C

  • Chiropractor
  • Mt Arlington, NJ
National Provider Identifier
1396813515
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00475300 Issued in NJ
Practice address
181 Howard Blvd
Suite E
Mt Arlington, NJ 07856-2314
Phone
(973) 398-8370
Fax
(973) 398-8332
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00475300 NJ Primary

Addresses

Primary practice location

181 Howard Blvd
Suite E
Mt Arlington, NJ 07856-2314

Mailing address

180 Howard Blvd Ste 4
Mt Arlington, NJ 07856-2318
Phone (973) 398-8370

Other identifiers 1

IdentifierTypeStateIssuer
22-3736982OtherNJTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000155 NJ Practitioner - Chiropractic 6103711833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 Pleasant Hill Rd
Randolph, NJ 07869-3467

180 Howard Blvd
Suite 4
Mount Arlington, NJ 07856-2318

2 W Hanover Ave
Suite 200B
Randolph, NJ 07869-4222
Phone (973) 398-8370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00475300NJMDChiropractor
MC04573NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Arlington Chiropractic, PC Chiropractor CurrentSince Aug 28, 1995 Accepting new patients

Locations

181 Howard Blvd
Ste E
Mt Arlington, NJ 07856
Phone (973) 398-8370

180 Howard Blvd
Ste 4
Mt Arlington, NJ 07856
Phone (973) 398-8370

2 W Hanover Ave
Ste 200B
Randolph, NJ 07869
Phone (973) 398-8370

Organizations & group practices 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1396813515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HOWARD BLVD STE 4",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078562318",
            "telephone_number": "973-398-8370",
            "fax_number": "973-398-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 HOWARD BLVD",
            "address_2": "SUITE E",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078562314",
            "telephone_number": "973-398-8370",
            "fax_number": "973-398-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACALONE",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00475300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "22-3736982",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.