Active NPI
Julen Aris Gallicchio, DC
- Chiropractor
- Kensington, CT
National Provider Identifier
1992332860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 002167
- Practice address
- 355 New Britain Rd
Kensington, CT 06037-1318 - Phone
- (860) 505-7278
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 002167 | CT | Primary |
Addresses
Primary practice location
355 New Britain Rd
Kensington, CT 06037-1318
Mailing address
355 New Britain Rd
Kensington, CT 06037-1318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002167 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1992332860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 NEW BRITAIN RD",
"city": "KENSINGTON",
"state": "CT",
"postal_code": "060371318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 NEW BRITAIN RD",
"city": "KENSINGTON",
"state": "CT",
"postal_code": "060371318",
"telephone_number": "860-505-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLICCHIO",
"first_name": "JULEN",
"middle_name": "ARIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "002167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.