Individual provider Active NPI

Adriana Gabriel-Chisolm, DC

  • Chiropractor
  • Lawrenceville, NJ
National Provider Identifier
1831606938
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00779100 Issued in NJ
Practice address
11 Fountayne LN
Lawrenceville, NJ 08648-2679
Phone
(908) 307-0257
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12378 FL
Chiropractor 111N00000X 38MC00779100 NJ Primary

Addresses

Primary practice location

11 Fountayne LN
Lawrenceville, NJ 08648-2679

Mailing address

11 Fountayne LN
Lawrenceville, NJ 08648-2679
Phone (908) 307-0257

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

LicenseStateTypeSpecialty
CH12378FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1831606938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FOUNTAYNE LN",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482679",
            "telephone_number": "908-307-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FOUNTAYNE LN",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482679",
            "telephone_number": "908-307-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL-CHISOLM",
        "first_name": "ADRIANA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12378",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00779100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.