Individual provider Active NPI

Alec Gabriel Lipata, DC

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1508683608
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00807500 Issued in NJ
Practice address
121 Newark Ave Ste 300
Jersey City, NJ 07302-5873
Phone
(551) 265-8391
NPI assigned
Sep 21, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00807500 NJ Primary

Addresses

Primary practice location

121 Newark Ave Ste 300
Jersey City, NJ 07302-5873

Mailing address

1105 Allessandrini Ave
New Milford, NJ 07646-2402
Phone (551) 265-8391

Other practice location 1

720 Monroe St Ste C208
Hoboken, NJ 07030-6350
Phone (551) 265-8391

Other practice location 2

1105 Allessandrini Ave
New Milford, NJ 07646-2402
Phone (551) 265-8391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007002710 NJ Practitioner - Chiropractic 6709317373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Spine Joint and Sports MedicineGroup PAC ID 2365530938, 14 clinicians

Practice addresses (Care Compare)

129 Newark Ave
Jersey City, NJ 07302-2811
Phone (201) 533-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Spine Joint and Sports Medicine Chiropractor CurrentSince Sep 30, 2024 Accepting new patients

Locations

720 Monroe St
Ste C208
Hoboken, NJ 07030
Phone 20153392001005

121 Newark Ave
Ste 300
Jersey City, NJ 07302
Phone (551) 265-8391

129 Newark Ave
Jersey City, NJ 07302
Phone (201) 333-2223

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1508683608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 ALLESSANDRINI AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462402",
            "telephone_number": "551-265-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NEWARK AVE STE 300",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025873",
            "telephone_number": "551-265-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Monroe St Ste C208",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070306350",
            "country_code": "US",
            "telephone_number": "551-265-8391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Allessandrini Ave",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "NJ",
            "postal_code": "076462402",
            "country_code": "US",
            "telephone_number": "551-265-8391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPATA",
        "first_name": "ALEC",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00807500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.