Active NPI
Andrew Dalton Gross, D.C.
- Chiropractor
- Marlton, NJ
National Provider Identifier
1811314198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00716000
- Practice address
- 525 Route 73 N Ste 117
Marlton, NJ 08053-3422 - Phone
- (856) 452-1413
- NPI assigned
- Mar 25, 2014
- Last updated
- Aug 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 38MC00716000 | NJ | Primary |
Addresses
Primary practice location
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Mailing address
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone (856) 452-1413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220928000108 | NJ | Practitioner - Chiropractic | 8426434572 | Practice locations: Marlton, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00716000 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glen Oaks Health and Spine Center LLC | Chiropractor | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Laurel Springs, NJ
- NPI 1528384583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1811314198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 ROUTE 73 N STE 117",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533422",
"telephone_number": "856-452-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ROUTE 73 N STE 117",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533422",
"telephone_number": "856-452-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "ANDREW",
"middle_name": "DALTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00716000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
- Gregory a Pistone, MD Professional Corporation (Pistone Cosmetic Dermatology and Surgery)
- Gregory W. Joseph, Psy.D., LLC
- Kristine Marie Griffin, P.A.
- Mark Griffin
- Mary K Grinovics, OT
- Harry David Grossman, M.D.
- Grove Enterprises
- Growth & Recovery Services
- Marni Erin Gruber, M.S., CCC-SLP
- Colleen M Gruici, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.