Healthcare Provider Details

I. General information

NPI: 1649142936
Provider Name (Legal Business Name): ANTHONY GIANGREGORIO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/14/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 NJ-17 STE 118
PARAMUS NJ
07652
US

IV. Provider business mailing address

12 NJ-17 STE 118
PARAMUS NJ
07652
US

V. Phone/Fax

Practice location:
  • Phone: 201-740-5505
  • Fax:
Mailing address:
  • Phone: 201-401-2186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00814500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: