Gary John Larocca, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00582100 Issued in NJ

Practice address

1 Dewolf Rd Ste 208
Old Tappan, NJ 07675

Phone

(201) 497-6612

Fax

(201) 497-6614

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Old Tappan Chiropractic, PA

  • Chiropractor
  • Old Tappan, NJ
  • NPI 1215073515
  Medicare reassignment Authorized official
• Promed Preferred NJ 2 PC

  dba Health Atlast Boonton

  • Internal Medicine Physician
  • Boonton, NJ
  • NPI 1942075346
  NPD
• Synergy Chiropractic Center LLC

  • Clinic/Center
  • Boonton, NJ
  • NPI 1295249613
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1922177922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD STE 208",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757084",
            "telephone_number": "201-497-6612",
            "fax_number": "201-497-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD STE 208",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-497-6612",
            "fax_number": "201-497-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "GARY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00582100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youn Woo Jung
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• Sarah Kim
• Susan T Kwee, D.D.S.
• Barbara Ford Lanoil, MSW
• Drew Morgan Lebovich, APN
• Keun Lee, MD
• Mi S Lee
• Seung Moh Lee
• Sheryl Lee, LCSW

• Chiropractor in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.