Organization Active NPI

Andrew Pagnotta DCPC

  • Chiropractor
  • Pine Beach, NJ
National Provider Identifier
1700899549
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ANDREW PAGNOTTA DCPC
Practice address
101 Chelsea Ave
Pine Beach, NJ 08741-1409
Phone
(732) 341-5954
Fax
(732) 341-5955
NPI assigned
Aug 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Pat Andrew Pagnotta, D.C.NPI 1689625915
Title
Director
Phone
(732) 341-5954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20161024001722 NJ Part B Supplier - Clinic/Group Practice 4789962952 Receives reassigned benefits from 1 practitioner
Practice locations: Pine Beach, NJ

National Provider Directory

National Provider Directory
Tax ID family
Andrew Pagnotta DCPC (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2016.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1700899549",
    "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": {
        "organization_name": "ANDREW PAGNOTTA DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "PAGNOTTA",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-341-5954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.