Individual provider Active NPI

Gina Marie Agostino, DC

  • Chiropractor
  • Cranberry TWP, PA
National Provider Identifier
1497791768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009593 Issued in PA
Practice address
2625 Rochester Rd
Cranberry TWP, PA 16066-4350
Phone
(724) 779-0001
Fax
(724) 779-0003
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009593 PA Primary

Addresses

Primary practice location

2625 Rochester Rd
Cranberry TWP, PA 16066-4350

Mailing address

624 Sarah Court
Cranberry TWP, PA 16066-4350
Phone (724) 244-8825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000292 PA Practitioner - Chiropractic 0042220436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Chiropractic Health,PCGroup PAC ID 2264442508, 4 clinicians

Practice addresses (Care Compare)

2710 Rochester Rd
Suite 200
Cranberry Township, PA 16066-6546
Phone (724) 779-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Chiropractic Health,PC Chiropractor CurrentSince Jun 5, 2006 Accepting new patients

Locations

2710 Rochester Rd
#200
Cranberry Twp, PA 16066
Phone (724) 779-0001

2625 Rochester Rd
Cranberry Twp, PA 16066
Phone (724) 779-0001

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497791768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SARAH COURT",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664350",
            "telephone_number": "724-244-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 ROCHESTER RD",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664350",
            "telephone_number": "724-779-0001",
            "fax_number": "724-779-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTINO",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.