Gregory Quille, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00445200 Issued in NJ

Practice address

558 Lawrence Square Blvd S
Lawrenceville, NJ 08648-2674

Phone

(609) 585-6100

NPI assigned

Jan 31, 2007

Last updated

May 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Princeton Brain Spine and Sports Medicine, LLCGroup PAC ID 8527396639, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Princeton Brain Spine and Sports Medicine, LLC

  • Chiropractor
  • Lawrenceville, NJ
  • NPI 1366002651
  Medicare reassignment Care Compare group NPD Authorized official
• Integrated Wellness, P.a.

  • Chiropractor
  • Hamilton, NJ
  • NPI 1558690321
  Authorized official Same address or phone
• Lawrence Spine & Wellness PA

  • Chiropractor
  • Lawrenceville, NJ
  • NPI 1548760804
  Authorized official Same address or phone
• Suburban Rehab LLC

  • Clinic/Center
  • Hamilton, NJ
  • NPI 1063780310
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1699812289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 LAWRENCE SQUARE BLVD S",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482674",
            "telephone_number": "609-585-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 LAWRENCE SQUARE BLVD S",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482674",
            "telephone_number": "609-585-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Whitehorse Mercerville Rd",
            "address_2": "Suite 409",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193831",
            "country_code": "US",
            "telephone_number": "609-585-6100",
            "fax_number": "609-581-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUILLE",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00445200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.quille@pbs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "558 Lawrence Square Blvd S",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sports Physician Chiropractor in Lawrenceville, NJ
• Providers in Lawrenceville, 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 May 28, 2021; 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.