Peter Anthony Gratale, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MCO3019 Issued in NJ

Practice address

244 Johnson Ave
Teaneck, NJ 07666-3309

Phone

(201) 836-9558

Fax

(201) 836-7967

NPI assigned

Sep 21, 2006

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

New York Chiropractic College, 1985

Medicare assignment

May accept Medicare assignment

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.

• Energy Wellness & Fitness Inc

  • Chiropractor
  • Teaneck, NJ
  • NPI 1356440010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871692533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 JOHNSON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663309",
            "telephone_number": "201-836-9558",
            "fax_number": "201-836-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 JOHNSON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663309",
            "telephone_number": "201-836-9558",
            "fax_number": "201-836-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATALE",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO3019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MCO3019",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vereen Gouldburne, NURSE PRACTITIONER
• Taylor Grader, PA-C
• Francis Joseph Graham, DMD
• Marylin Joan Granat, MSW LCSW BCD
• Susan L. Grand, PHD
• Chevon Lenique Gray, RN
• Debbie Green, PH.D.
• Shoshana Green, MS DPT
• Susan Greenbaum
• Adrienne Masin Greenblatt, MD

• Chiropractor in Teaneck, NJ
• Providers in Teaneck, 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.