NPIMap

Organization Active NPI

Gulotta Chiropractic

  • Chiropractor
  • Lake Como, NJ
National Provider Identifier
1639803331
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GULOTTA CHIROPRACTIC
Practice address
1717 Main St Unit 101
Lake Como, NJ 07719-3096
Phone
(732) 681-2200
Fax
(732) 681-5954
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GULOTTA CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Dr. Joseph James GulottaNPI 1568645422
Title
Owner
Phone
(732) 681-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1717 Main St Unit 101
Lake Como, NJ 07719-3096

Mailing address

1717 Main St Unit 101
Lake Como, NJ 07719-3096
Phone (732) 681-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000099 NJ Part B Supplier - Clinic/Group Practice 0143350439 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Lake Como, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Gulotta Chiropractic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1639803331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST UNIT 101",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193096",
            "telephone_number": "732-681-2200",
            "fax_number": "732-681-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST UNIT 101",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193096",
            "telephone_number": "732-681-2200",
            "fax_number": "732-681-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULOTTA CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULOTTA CHIROPRACTIC",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "GULOTTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-681-2200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Como, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.