Individual provider Active NPI

Gino S Ramundo, DC

  • Chiropractor
  • Franklin Lakes, NJ
National Provider Identifier
1992863047
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00494700 Issued in NJ
Practice address
784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417-1306
Phone
(844) 777-0910
Fax
(201) 560-0712
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0083321 NY
Chiropractor 111N00000X 38MC00494700 NJ Primary

Addresses

Primary practice location

784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417-1306

Mailing address

784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081222000410 NJ Practitioner - Chiropractic 3173685328 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0083321NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group, LLC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients
Kayal Orthopaedic Center, P.C. CurrentSince Dec 18, 2019 Accepting new patients
Allcare Physical Therapy & Wellness, LLC Chiropractor Current Accepting new patients
Fort Lee Health Center PC Chiropractor PastSince Oct 17, 2016 Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

12 Goffle Rd
Midland Park, NJ 07432
Phone (201) 447-2570

9226 Kennedy Blvd
Ste 2
North Bergen, NJ 07047
Phone (201) 861-4447

9226 Kennedy Blvd
Unit B
North Bergen, NJ 07047

458 Union Blvd
Ste C
Totowa, NJ 07512
Phone (973) 638-1160

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1992863047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE STE 250",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE STE 250",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMUNDO",
        "first_name": "GINO",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0083321",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00494700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.