Old Tappan Chiropractic, Pa is a medicare enrolled "Chiropractor" provider in Old Tappan, New Jersey. Their current practice location is
1 Dewolf Rd Ste 208, Old Tappan, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 497-6612.
Old Tappan Chiropractic, Pa is licensed to practice in New Jersey (license number 38MC00582100) and it also participates in the medicare program. Old Tappan Chiropractic, Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215073515.
Healthcare Provider's Profile
Full Name | Old Tappan Chiropractic, Pa |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 1 Dewolf Rd Ste 208, Old Tappan, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215073515
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 05/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 8729040324
- Enrollment ID: O20041027000107
Medical Identifiers
Medical identifiers for Old Tappan Chiropractic, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215073515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 38MC00582100 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Old Tappan Chiropractic, Pa acts as a billing entity for following providers:
Provider Name | Gary J Larocca |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1922177922 PECOS PAC ID: 0648232231 Enrollment ID: I20041027000093 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Old Tappan Chiropractic, Pa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Old Tappan Chiropractic, Pa 1 Dewolf Rd Ste 208, Old Tappan, NJ 07675-7084 Ph: (201) 497-6612 | Old Tappan Chiropractic, Pa 1 Dewolf Rd Ste 208, Old Tappan, NJ 07675 Ph: (201) 497-6612 |
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