Active NPI
Kevin C Gyurina, D.C., C.C.W.P.
- Chiropractor
- Pennington, NJ
National Provider Identifier
1699864496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00684700
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38MC00684700 | Other | NJ | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00684700 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Local Infusion Health of NJ PC | Past | 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.
-
dba Local Infusion
- Infusion Therapy Clinic/Center
- Emerson, NJ
- NPI 1710765391
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.