Gulotta Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00617800 Issued in NJ

Legal business name

GULOTTA CHIROPRACTIC

Practice address

1717 Main St
Unit 101
Lake Como, NJ 07719-3096

Phone

(732) 681-2200

Fax

(732) 681-5954

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Gulotta, DC

Title

Owner

Phone

(732) 681-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Gulotta Chiropractic

  • Chiropractor
  • Lake Como, NJ
  • NPI 1639803331

  O20100614000099

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gulotta Chiropractic

  • Chiropractor
  • Lake Como, NJ
  • NPI 1639803331
  NPPES parent name

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1487974978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "address_2": "UNIT 101",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193096",
            "telephone_number": "732-681-2200",
            "fax_number": "732-681-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "address_2": "UNIT 101",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193096",
            "telephone_number": "732-681-2200",
            "fax_number": "732-681-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULOTTA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "GULOTTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-681-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00617800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charlene L. Griffin, M.T.
• Gulotta Chiropractic
• Joseph James Gulotta, DC
• Laine W Happel, LPC
• Elizabeth C Iadisernia, DPT
• John R Kohutanycz, PT, DPT

• Chiropractor in Lake Como, NJ
• Providers in Lake Como, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.