Active NPI
Jossana Ghobryal I, D.C.
- Chiropractor
- Glen Rock, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00726000
- Practice address
- 266 Harristown Rd Ste 20
Glen Rock, NJ 07452-3302 - Phone
- (201) 857-0527
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00726000 | NJ | Primary |
Addresses
Primary practice location
266 Harristown Rd Ste 20
Glen Rock, NJ 07452-3302
Mailing address
266 Harristown Rd Ste 20
Glen Rock, NJ 07452-3302
Phone (201) 857-0527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930
266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000
4706 Bergenline Ave
Union City, NJ 07087-5112
Phone (201) 574-7770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00726000 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed PT LLC | Chiropractor | Current | Accepting new patients |
Locations
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798
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": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1437536828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 HARRISTOWN RD STE 20",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074523302",
"telephone_number": "201-857-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 HARRISTOWN RD STE 20",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074523302",
"telephone_number": "201-857-0527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOBRYAL",
"first_name": "JOSSANA",
"name_suffix": "I",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-05",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00726000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Rock, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.