Active NPI
Gregory W Sheehan, DC
- Chiropractor
- Vernon, NJ
National Provider Identifier
1881763761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC1702
- Practice address
- 70 Vernon Crossing Rd
Pob 384
Vernon, NJ 07462-3214 - Phone
- (973) 764-6700
- Fax
- (973) 764-0141
- NPI assigned
- Nov 7, 2006
- 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 | MC1702 | NJ | Primary |
Addresses
Primary practice location
70 Vernon Crossing Rd
Pob 384
Vernon, NJ 07462-3214
Mailing address
70 Vernon Crossing Rd
PO Box 384
Vernon, NJ 07462-3214
Phone (973) 764-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080408000066 | NJ | Practitioner - Chiropractic | 7214014844 | Practice locations: Vernon, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
70 Vernon Crossing Rd
Vernon, NJ 07462-3214
Phone (973) 764-6700
70 Vernon Crossing Rd
Vernon, NJ 07462-3418
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC1702 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1881763761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 VERNON CROSSING RD",
"address_2": "PO BOX 384",
"city": "VERNON",
"state": "NJ",
"postal_code": "074623214",
"telephone_number": "973-764-6700",
"fax_number": "973-764-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 VERNON CROSSING RD",
"address_2": "POB 384",
"city": "VERNON",
"state": "NJ",
"postal_code": "074623214",
"telephone_number": "973-764-6700",
"fax_number": "973-764-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "GREGORY",
"middle_name": "W",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC1702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.