Active NPI
James A Gaeta, D.C.
- Chiropractor
- Woodbury, NJ
National Provider Identifier
1497793525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00506100
- Practice address
- 630 Salem Ave
Woodbury, NJ 08096-3118 - Phone
- (856) 853-7577
- Fax
- (856) 845-7829
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- 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 | 38MC00506100 | NJ | Primary |
Addresses
Primary practice location
630 Salem Ave
Woodbury, NJ 08096-3118
Mailing address
630 Salem Ave
Woodbury, NJ 08096-3118
Phone (856) 853-7577
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2663629 | Other | NJ | AETNA ID NUMBER |
| 223840810 | Other | NJ | HORIZON BC/BS OF NJ |
| 0189253000 | Other | NJ | AMERIHELATH IDNUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060808000548 | NJ | Practitioner - Chiropractic | 5890773030 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Center
Practice addresses (Care Compare)
801 Route 73 N
Suite C
Marlton, NJ 08053-1283
Phone (845) 542-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center | Chiropractor | Current | Accepting new patients |
| Medrehab and Spine Associates | Past | Accepting new patients | |
| Caring Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
801 Route 73 N
Ste C
Marlton, NJ 08053
Phone (856) 853-7577
800 Jessup Rd
Ste 803A
West Deptford, NJ 08086
Phone (845) 542-2273
Organizations & group practices 3
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.
-
- Chiropractor
- Woodbury, NJ
- NPI 1336193416
-
- Chiropractor
- Cherry Hill, NJ
- NPI 1720034333
-
- Interventional Pain Medicine Physician
- Marlton, NJ
- NPI 1003858705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1497793525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 SALEM AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080963118",
"telephone_number": "856-853-7577",
"fax_number": "856-845-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 SALEM AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080963118",
"telephone_number": "856-853-7577",
"fax_number": "856-845-7829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAETA",
"first_name": "JAMES",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00506100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID NUMBER",
"identifier": "2663629",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BC/BS OF NJ",
"identifier": "223840810",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHELATH IDNUMBER",
"identifier": "0189253000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.