Gregory Paul McDermott, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MCO3684 Issued in NJ

Practice address

561 River Rd
Fair Haven, NJ 07704

Phone

(732) 741-8668

Fax

(732) 842-2128

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pilot McDermott Inc

  • Chiropractor
  • Fair Haven, NJ
  • NPI 1336344365
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831211499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 RIVER RD",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "07704",
            "telephone_number": "732-741-8668",
            "fax_number": "732-842-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 RIVER RD",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "07704",
            "telephone_number": "732-741-8668",
            "fax_number": "732-842-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO3684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042765",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Livingston, MSPT
• Robert William Lopresti, PH.D.
• Jessica Lupon, LPC
• Jordon Lupon
• Sue Massie, ND
• Karly Ann McDermott, L.AC
• Medtec Medical Supply, LLC
• Danielle J Nardone, DO
• Nexderm
• Jennifer Norton, P.T.

• Chiropractor in Fair Haven, NJ
• Providers in Fair Haven, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.