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DR. LAWRENCE PETRACCO D.C.
NPI 1528090149
Chiropractor in Jersey City, NJ

Active since July 06, 2006
218 NEWARK AVE, JERSEY CITY, NJ 07302(201) 533-0055(201) 533-0066 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lawrence Petracco D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE PETRACCO D.C. (NPI 1528090149) is an individual chiropractor in Jersey City, New Jersey, licensed in New Jersey (38MC00495100) and active in the NPI registry since July 2006. He is a graduate of Life Chiropractic College - West (1996).

NPPES Registry Identity

NPI1528090149
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. LAWRENCE PETRACCOCredential: D.C.
Location Address218 NEWARK AVEJersey City, NJ 07302-2736
Mailing Address218 Newark AveJersey City, NJ 07302-2736 · (201) 533-0055 · Fax (201) 533-0066
Phone(201) 533-0055
Fax(201) 533-0066
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 1996
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528090149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00495100
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
218 NEWARK AVE, Jersey City, NJ 07302
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lawrence Petracco D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769494947
PECOS Enrollment IDI20060707000306

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR JOINT AND SPINE RELIEF
Pain Medicine (Interventional Pain Medicine)
218 NEWARK AVE
JERSEY CITY, NJ 07302
Hudson County (201) 533-0055
PETRACCO CHIROPRACTIC CENTER P A
Chiropractor
218 NEWARK AVE
JERSEY CITY, NJ 07302
Hudson County (201) 533-0055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Petracco's NPI number?

The NPI number for Lawrence Petracco is 1528090149. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Lawrence Petracco located?

Lawrence Petracco practices at 218 Newark Ave, Jersey City, NJ 07302. The listed phone number is (201) 533-0055.

What is Lawrence Petracco's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lawrence Petracco enrolled in Medicare?

Yes. Lawrence Petracco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lawrence Petracco was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.