Individual provider Active NPI

Gorky F Massache, DC

  • Chiropractor
  • Parsippany, NJ
National Provider Identifier
1942216700
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MD00556400 Issued in NJ
Practice address
239 New Road
Suite C302
Parsippany, NJ 07054
Phone
(973) 808-8660
Fax
(973) 808-1468
NPI assigned
Aug 1, 2006
Last updated
Jan 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0093051 NY
Chiropractor 111N00000X 38MD00556400 NJ Primary
Sports Physician Chiropractor 111NS0005X 4119 NY

Addresses

Primary practice location

239 New Road
Suite C302
Parsippany, NJ 07054

Mailing address

239 New Road
BLDG C Suite 3a
Parsippany, NJ 07054
Phone (973) 808-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000400 NJ Practitioner - Chiropractic 6901043850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 New Rd
Suite C302
Parsippany, NJ 07054-5643
Phone (973) 808-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MD00556400NJMDChiropractor
X0093051NYMDChiropractor
4119NYMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gorky F. Massache, D.C., P.C. Chiropractor CurrentSince Feb 4, 2013 Accepting new patients

Locations

239 New Rd
Ste C302
Parsippany, NJ 07054
Phone (973) 330-6727

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1942216700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 NEW ROAD",
            "address_2": "BLDG C SUITE 3A",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-808-8660",
            "fax_number": "973-808-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 NEW ROAD",
            "address_2": "SUITE C302",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-808-8660",
            "fax_number": "973-808-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSACHE",
        "first_name": "GORKY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0093051",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MD00556400",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "4119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.