Shaan Chiro LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

SHAAN CHIRO LLC

Practice address

29 Washington Ave Ste 112
Carteret, NJ 07008-2694

Phone

(732) 904-1076

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Gagandeep Gill, DCNPI 1861932618

Title

Owner

Phone

(732) 904-1076

Specialties & licenses 1

Addresses

Other names 1

• Carteret Spine & Sports Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gagandeep Gill, D.C.

  • Chiropractor
  • Eatontown, NJ
  • NPI 1861932618
  Medicare reassignment Care Compare group NPD Authorized official
• Taylor Boulos, APN

  • Nurse Practitioner
  • Little Silver, NJ
  • NPI 1356820823
  Medicare reassignment Care Compare group NPD
• Parth Thakar, DPT

  • Physical Therapist
  • Jackson, NJ
  • NPI 1487160024
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1871291773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON AVE STE 112",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082694",
            "telephone_number": "732-904-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON AVE STE 112",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082694",
            "telephone_number": "732-904-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAAN CHIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-904-1076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carteret Spine & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rudyard C Saldajeno, PT
• Magaret Sam, RN
• Michael Thomas Savino
• Ravjit Kaur Sekhon
• Kourtney Senatore
• Jinal R Shah
• Nisha Shah, PT
• Kamel Shehada, DMD
• Shoprite of Carteret Inc
• Aqsa Siddiqui, DPM

• Sports Physician Chiropractor in Carteret, NJ
• Providers in Carteret, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.

Verify at the official NPI Registry.