Individual provider Active NPI

James A Gaeta, D.C.

  • Chiropractor
  • Woodbury, NJ
National Provider Identifier
1497793525
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00506100 Issued in NJ
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

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2663629OtherNJAETNA ID NUMBER
223840810OtherNJHORIZON BC/BS OF NJ
0189253000OtherNJAMERIHELATH IDNUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Family Health Center Chiropractor CurrentSince Sep 1, 2001 Accepting new patients
Medrehab and Spine Associates PastSince Jul 13, 2004 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.

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.

Verify at the official NPI Registry.