Organization Active NPI

Dr. Gutierrez Chiropractic and Health Center LLC,

  • Chiropractor
  • South Plainfield, NJ
National Provider Identifier
1487797916
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00633700 Issued in NJ
Legal business name
DR. GUTIERREZ CHIROPRACTIC AND HEALTH CENTER LLC,
Practice address
108 John St
South Plainfield, NJ 07080-2807
Phone
(908) 834-1209
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Dr. Victor Patrick Gutierrez Jr., DCNPI 1497844476
Title
Chiropractor
Phone
(908) 834-1209

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 38MC00633700 NJ Primary

Addresses

Primary practice location

108 John St
South Plainfield, NJ 07080-2807

Mailing address

108 John St
South Plainfield, NJ 07080-2807
Phone (908) 834-1209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070223000028 NJ Part B Supplier - Clinic/Group Practice 3375645245 Receives reassigned benefits from 1 practitioner
Practice locations: Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

115A New St
Plainfield, NJ 07060
Phone (908) 834-1209

Practitioners & affiliated clinicians

Practitioners 1

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1487797916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 JOHN ST",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802807",
            "telephone_number": "908-834-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 JOHN ST",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802807",
            "telephone_number": "908-834-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GUTIERREZ CHIROPRACTIC AND HEALTH CENTER LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "908-834-1209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00633700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.