Joseph James Gulotta, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00617800 Issued in NJ

Practice address

1717 Main St
Lake Como, NJ 07719-3096

Phone

(732) 681-2200

NPI assigned

Dec 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulotta ChiropracticGroup PAC ID 0143350439, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Gulotta Chiropractic

  • Chiropractor
  • Lake Como, NJ
  • NPI 1639803331
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1568645422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OCEAN BLVD APT 3B",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161252",
            "telephone_number": "610-209-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193096",
            "telephone_number": "732-681-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULOTTA",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00617800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Gardner, PT, DPT
• Genesis Integrative Medicine Longevity Center LLC
• Charlene L. Griffin, M.T.
• Gulotta Chiropractic
• Gulotta Chiropractic
• Laine W Happel, LPC
• Elizabeth C Iadisernia, DPT
• John R Kohutanycz, PT, DPT
• Sean S. Lee, L.C.S.W.
• Joseph J Louro, D.C.

• Chiropractor in Lake Como, NJ
• Providers in Lake Como, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.