NPIMap

Organization Active NPI

East Gate Chiropractic & Wellness, LLC

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1750605887
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC01755 Issued in NJ
Legal business name
EAST GATE CHIROPRACTIC & WELLNESS, LLC
Practice address
813 E Gate Dr
Suite C
Mount Laurel, NJ 08054-1238
Phone
(856) 222-1322
Fax
(856) 222-9632
NPI assigned
Mar 18, 2010
Last updated
Oct 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. Leonard F Vernon, DCNPI 1598760696
Title
Owner
Phone
(856) 222-1322

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC01755 NJ Primary

Addresses

Primary practice location

813 E Gate Dr
Suite C
Mount Laurel, NJ 08054-1238

Mailing address

813 E Gate Dr
Suite C
Mount Laurel, NJ 08054-1238
Phone (856) 222-1322

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1750605887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E GATE DR",
            "address_2": "SUITE C",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541238",
            "telephone_number": "856-222-1322",
            "fax_number": "856-222-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E GATE DR",
            "address_2": "SUITE C",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541238",
            "telephone_number": "856-222-1322",
            "fax_number": "856-222-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GATE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-222-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC01755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.