Individual provider Active NPI

Kevin C Gyurina, D.C., C.C.W.P.

  • Chiropractor
  • Pennington, NJ
National Provider Identifier
1699864496
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00684700 Issued in NJ
Practice address
23 Route 31 N Ste B23
Pennington, NJ 08534-1600
Phone
(609) 737-3737
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00684700 NJ Primary

Addresses

Primary practice location

23 Route 31 N Ste B23
Pennington, NJ 08534-1600

Mailing address

30 Jackson Rd # D207
Medford, NJ 08055-9283
Phone (856) 359-6005

Other practice location 1

30 Jackson Rd # D207
Medford, NJ 08055-9283
Phone (856) 359-6005

Other identifiers 1

IdentifierTypeStateIssuer
38MC00684700OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00684700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Local Infusion Health of NJ PC PastSince Dec 1, 2025 Accepting new patients

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1699864496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JACKSON RD # D207",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559283",
            "telephone_number": "856-359-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROUTE 31 N STE B23",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341600",
            "telephone_number": "609-737-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Jackson Rd # D207",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080559283",
            "country_code": "US",
            "telephone_number": "856-359-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GYURINA",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.W.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-03-17",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00684700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "38MC00684700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.