Active NPI
Pat Pagnotta, DC
- Chiropractor
- Pine Beach, NJ
National Provider Identifier
1689625915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00318900
- Practice address
- 101 Chelsea Ave
Pine Beach, NJ 08741-1409 - Phone
- (732) 341-5954
- Fax
- (732) 341-5955
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 38MC00318900 | NJ | Primary |
Addresses
Primary practice location
101 Chelsea Ave
Pine Beach, NJ 08741-1409
Mailing address
101 Chelsea Ave
Pine Beach, NJ 08741-1409
Phone (732) 341-5954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811154648 | Other | NJ | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040115000017 | NJ | Practitioner - Chiropractic | 2860393774 |
Reassigns benefits to 1 organization Practice locations: Pine Beach, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Chelsea Ave
Pine Beach, NJ 08741-1409
Phone (732) 341-5954
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00318900 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Pagnotta DCPC | Chiropractor | Current | Accepting new patients |
| Seaport Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Andrew Pagnotta DCPC | Chiropractor | Past | Accepting new patients |
| Dr. Andrew Pagnotta D.C., P.C. | Chiropractor | Past | Accepting new patients |
| O'Rourke Family Chiropractic , LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1689625915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CHELSEA AVE",
"city": "PINE BEACH",
"state": "NJ",
"postal_code": "087411409",
"telephone_number": "732-341-5954",
"fax_number": "732-341-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CHELSEA AVE",
"city": "PINE BEACH",
"state": "NJ",
"postal_code": "087411409",
"telephone_number": "732-341-5954",
"fax_number": "732-341-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGNOTTA",
"first_name": "PAT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00318900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "811154648",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Beach, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.