Individual provider Active NPI

Gerard Thomas Chiara, D.C.

  • Chiropractor
  • Hackettstown, NJ
National Provider Identifier
1689659419
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1761 Issued in NJ
Practice address
254 Mountain Ave
Suite 5a
Hackettstown, NJ 07840-2407
Phone
(908) 850-0522
Fax
(908) 850-5938
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1761 NJ Primary

Addresses

Primary practice location

254 Mountain Ave
Suite 5a
Hackettstown, NJ 07840-2407

Mailing address

254 Mountain Ave
Suite 5a
Hackettstown, NJ 07840-2407
Phone (908) 850-0522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000124 NJ Practitioner - Chiropractic 3274793989 Practice locations: Hackettstown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

254 Mountain Ave
Hackettstown, NJ 07840-2407
Phone (908) 850-0522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1761NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Works LLC Chiropractor Past Accepting new patients
New Jersey Medical and Health Associates,LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1689659419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 MOUNTAIN AVE",
            "address_2": "SUITE 5A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402407",
            "telephone_number": "908-850-0522",
            "fax_number": "908-850-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 MOUNTAIN AVE",
            "address_2": "SUITE 5A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402407",
            "telephone_number": "908-850-0522",
            "fax_number": "908-850-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARA",
        "first_name": "GERARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.