Jennifer Leigh Gattone, BO-C

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

45OR00004200 Issued in NJ

Practice address

443 Laurel Oak Rd
Suite 130
Voorhees, NJ 08043-4451

Phone

(856) 821-6360

Fax

(856) 821-6359

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Leigh Estlack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528074259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074216",
            "telephone_number": "267-339-3500",
            "fax_number": "215-503-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 LAUREL OAK RD",
            "address_2": "SUITE 130",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434451",
            "telephone_number": "856-821-6360",
            "fax_number": "856-821-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTONE",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "BO-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NJ",
            "license": "45OR00004200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ESTLACK",
            "middle_name": "LEIGH",
            "credential": "BO-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Orthotist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Orthotist in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.