Foxmoor Chiropractic Center L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC-04948 Issued in NJ

Legal business name

FOXMOOR CHIROPRACTIC CENTER L.L.C.

Practice address

2791 Nottingham Way
Mercerville, NJ 08619-1854

Phone

(609) 631-8969

Fax

(609) 631-0052

NPI assigned

Jul 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Allen Gellasch, D.C.NPI 1497787451

Title

Owner

Phone

(609) 631-8969

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Allen Gellasch, D.C.

  • Chiropractor
  • Mercerville, NJ
  • NPI 1497787451
  Medicare reassignment Authorized official
• Patricia A Gellasch, MSN, APN

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1386897668
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952331290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 NOTTINGHAM WAY",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191854",
            "telephone_number": "609-631-8969",
            "fax_number": "609-631-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 NOTTINGHAM WAY",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191854",
            "telephone_number": "609-631-8969",
            "fax_number": "609-631-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOXMOOR CHIROPRACTIC CENTER L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELLASCH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-631-8969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC-04948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO/KEYSTONE",
            "identifier": "0091180000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Evans, M.S. CCC-A
• Tahir Farooq, M.D.
• Richard J. Federico, DMD
• Mary Katherine Flood, DDS
• Susan E Ford, DC
• Jeannette Maria Garcia, PA-C
• Garden State Pediatrics
• Gary a. Cortina,D.M.D.,P.a.
• Valeriy Gavrilov, PHARMD
• Julia Gavrilova

• Chiropractor in Mercerville, NJ
• Providers in Mercerville, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.