Individual provider Active NPI

Pasquale J Carcaise, D.C., D.A.C.A.N.

  • Neurology Chiropractor
  • Audubon, NJ
National Provider Identifier
1003860230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
38MC00187600 Issued in NJ
Practice address
246 S White Horse Pike
Audubon, NJ 08106-1352
Phone
(856) 547-7722
Fax
(856) 547-6607
NPI assigned
May 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 38MC00187600 NJ Primary

Addresses

Primary practice location

246 S White Horse Pike
Audubon, NJ 08106-1352

Mailing address

246 S White Horse Pike
Audubon, NJ 08106-1352
Phone (856) 547-7722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000067 NJ Practitioner - Chiropractic 4284800210 Practice locations: Audubon, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

246 S White Horse Pike
Audubon, NJ 08106-1352
Phone (856) 547-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audubon Back Aid Center Neurology PastSince Apr 1, 1989 Accepting new patients

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003860230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S WHITE HORSE PIKE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061352",
            "telephone_number": "856-547-7722",
            "fax_number": "856-547-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 S WHITE HORSE PIKE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061352",
            "telephone_number": "856-547-7722",
            "fax_number": "856-547-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCAISE",
        "first_name": "PASQUALE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.A.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00187600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.