Jeremy Gongola, DC
Chiropractor in Closter, New Jersey
1568005049- Practice location
- 31 Ver Valen St, Closter, NJ 07624-2699
- Phone
- 201-784-2700
- Fax
- —
- Last updated
- October 28, 2019
Jeremy Gongola is a Chiropractor based in Closter, NJ. Jeremy Gongola practices in Closter, NJ and has the professional credentials of DC. The NPI Number for Jeremy Gongola is 1568005049 and holds a License No. 38MC00765000 (NJ). The current practice location address for Jeremy Gongola is 31 Ver Valen St, Closter, NJ 07624-2699 and can be reached out via phone at 201-784-2700.
Provider Profile Details
- NPI Number
- 1568005049
- Provider Name
- Jeremy Gongola
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 31 Ver Valen St, Closter, NJ 07624-2699
- Phone Number
- 201-784-2700
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 28, 2019
- Last Update Date
- October 28, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Ver Valen St
Closter, NJ 07624-2699 - City
- Closter
- State
- New Jersey
- Zip
- 07624-2699
- Phone Number
- 201-784-2700
Provider Business Mailing Address Details
- Address
- 31 Vervalen St
Closter, NJ 07624-2699 - City
- Closter
- State
- NJ
- Zip
- 07624-2699
- Phone Number
- 201-784-2700
License Information
- License Number
- 38MC00765000
- License State
- NJ
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Chiropractors near Closter, NJ
View all Chiropractors in Closter →Frequently Asked Questions
What is the NPI number of Jeremy Gongola, DC?
The NPI number of Jeremy Gongola, DC is 1568005049. It was assigned on October 28, 2019 and is currently active in the NPPES registry.
What is the specialty of Jeremy Gongola, DC?
Jeremy Gongola, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00765000.
Where does Jeremy Gongola, DC practice?
The practice location is 31 Ver Valen St, Closter, NJ 07624-2699. The office can be reached at 201-784-2700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568005049 directly on the NPPES registry website.