Individual provider Active NPI

Gerard R Perrella, D.C.

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1730399866
Registry record updated Sep 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00604500 Issued in NJ
Practice address
22 Santiago Dr W
Toms River, NJ 08757-6403
Phone
(732) 552-9693
NPI assigned
May 24, 2007
Last updated
Sep 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00604500 NJ Primary

Addresses

Primary practice location

22 Santiago Dr W
Toms River, NJ 08757-6403

Mailing address

22 Santiago Dr W
Toms River, NJ 08757-6403
Phone (732) 552-9693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090530000000 NJ Practitioner - Chiropractic 4183773799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Upper Cervical Chiropractic of Monmouth, LLCGroup PAC ID 8527183110, 4 clinicians

Practice addresses (Care Compare)

280 US Hwy 9
Morganville, NJ 07751-1572
Phone (732) 617-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Cervical Chiropractic of Monmouth, LLC Chiropractor CurrentSince Nov 1, 2021 Accepting new patients
Balance Chiropractic & Wellness Center, LLC Chiropractor CurrentSince Feb 11, 2018 Accepting new patients

Locations

2211 Route 88 E
Ste 2B
Brick, NJ 08724
Phone (732) 903-2222

280 US Highway 9
Morganville, NJ 07751
Phone (732) 387-5750

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1730399866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SANTIAGO DR W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087576403",
            "telephone_number": "732-552-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SANTIAGO DR W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087576403",
            "telephone_number": "732-552-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRELLA",
        "first_name": "GERARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00604500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.