Chiromed-21PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00444700 Issued in NJ

Legal business name

CHIROMED-21PC

Practice address

880 Montua Pike
Unit C
Woodbury Heights, NJ 08097

Phone

(856) 718-9922

Fax

(856) 848-8208

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Frank Richard Gasparovic Jr., DCNPI 1144215450

Title

Owner

Phone

(856) 718-9922

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Richard Gasparovic Jr., DC

  • Chiropractor
  • Sewell, NJ
  • NPI 1144215450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1659311330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5581",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-718-9922",
            "fax_number": "856-848-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MONTUA PIKE",
            "address_2": "UNIT C",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "08097",
            "telephone_number": "856-718-9922",
            "fax_number": "856-848-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROMED-21PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "GASPAROVIC",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-718-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00444700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7077904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger T Barr, EDD
• Karen A Bocchicchio, CRNP
• Laura Bomar, D.P.T., CLT-LANA
• Breakthrough Treatment Centers LLC
• Dennis T Casterline, DC
• David Anthony Contino, PT
• Dana Croft
• Crossroads Treatment Center of Woodbury Heights
• Durand, Inc.
• Eastern Dental of Woodbury Heights, LLC

• Sports Physician Chiropractor in Woodbury Heights, NJ
• Providers in Woodbury Heights, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.