Active NPI
Vincent Lasorsa, D.C.
- Chiropractor
- Liberty Corner, NJ
National Provider Identifier
1629036447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC004321
- Practice address
- 3644 Valley Rd
Liberty Corner, NJ 07938 - Phone
- (908) 647-7766
- Fax
- (908) 647-7769
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC004321 | NJ | Primary |
Addresses
Primary practice location
3644 Valley Rd
Liberty Corner, NJ 07938
Mailing address
PO Box 221
3644 Valley Rd
Liberty Corner, NJ 07938-0221
Phone (908) 647-7766
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1069614 | Other | NJ | OXFORD PROVIDER ID |
| 0708760000 | Other | NJ | AMERIHEALTH PROVIDER ID |
| 547417 | Other | NJ | AETNA PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090428000081 | NJ | Practitioner - Chiropractic | 6507914702 | Practice locations: Liberty Corner, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 221
Liberty Corner, NJ 07938-0221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC004321 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629036447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221",
"address_2": "3644 VALLEY RD",
"city": "LIBERTY CORNER",
"state": "NJ",
"postal_code": "079380221",
"telephone_number": "908-647-7766",
"fax_number": "908-647-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3644 VALLEY RD",
"city": "LIBERTY CORNER",
"state": "NJ",
"postal_code": "07938",
"telephone_number": "908-647-7766",
"fax_number": "908-647-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASORSA",
"first_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC004321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID",
"identifier": "P1069614",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PROVIDER ID",
"identifier": "0708760000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "547417",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty Corner, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.