Active NPI
Gerald Nastasia Jr., D.C.
- Orthopedic Chiropractor
- Swampscott, MA
National Provider Identifier
1811089576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 1524
- Practice address
- 70 New Ocean St
Swampscott, MA 01907-1831 - Phone
- (781) 581-7300
- NPI assigned
- Sep 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 1524 | MA | Primary |
| Orthopedic Chiropractor | 111NX0800X | 2006022689 | MO |
Addresses
Primary practice location
70 New Ocean St
Swampscott, MA 01907-1831
Mailing address
2 Jean Dr
Seabrook, NH 03874-4196
Phone (781) 888-2419
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 737865 | Other | MA | TUFTS |
| 508030 | Other | MA | HCVM |
| B20294501 | Other | MA | CIGNA |
| Y36064 | Other | MA | BLUECROSS OF MA |
| 998114 | Other | MA | NETWORK HEALTH |
| 01539 | Other | MA | AETNA US HEALTHCARE |
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 |
|---|---|---|---|
| 1524 | MA | MD | Behavioral Analyst |
| 2006022689 | MO | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811089576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 JEAN DR",
"city": "SEABROOK",
"state": "NH",
"postal_code": "038744196",
"telephone_number": "781-888-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 NEW OCEAN ST",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019071831",
"telephone_number": "781-581-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASTASIA",
"first_name": "GERALD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "MA",
"license": "1524",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "MO",
"license": "2006022689",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "737865",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM",
"identifier": "508030",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B20294501",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS OF MA",
"identifier": "Y36064",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "998114",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "01539",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swampscott, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.