Individual provider Active NPI

Gary Joseph Szitanko, D.C.

  • Chiropractor
  • Red Bank, NJ
National Provider Identifier
1548246119
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00612300 Issued in NJ
Practice address
170 Highway 35
Red Bank, NJ 07701-5908
Phone
(732) 741-5772
Fax
(732) 741-5778
NPI assigned
Dec 15, 2005
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00612300 NJ Primary

Addresses

Primary practice location

170 Highway 35
Red Bank, NJ 07701-5908

Mailing address

52 Rosalie Ave
Lincroft, NJ 07738-1323
Phone (732) 747-3195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000055 NJ Practitioner - Chiropractic 3476579145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 State Route 35
Suite 1
Red Bank, NJ 07701-5930
Phone (732) 741-5772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Physical Therapy Current Accepting new patients
Infinity Chiropractic & Wellness Center, LLC Chiropractor CurrentSince Jul 15, 2005 Accepting new patients

Locations

170 State Route 35
Red Bank, NJ 07701
Phone (732) 741-5772

170 State Route 35
Ste 1
Red Bank, NJ 07701
Phone (732) 741-5772

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, 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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1548246119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ROSALIE AVE",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381323",
            "telephone_number": "732-747-3195",
            "fax_number": "732-741-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HIGHWAY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015908",
            "telephone_number": "732-741-5772",
            "fax_number": "732-741-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZITANKO",
        "first_name": "GARY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00612300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.