Organization Active NPI

Summit Spinal Care LLC

  • Rehabilitation Chiropractor
  • Moorestown, NJ
National Provider Identifier
1013184308
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00598300 Issued in NJ
Legal business name
SUMMIT SPINAL CARE LLC
Practice address
212 W Route 38
Moorestown, NJ 08057-3238
Phone
(973) 839-1003
Fax
(973) 839-3653
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Joshua P Sherlock, DCNPI 1750449773
Title
President
Phone
(973) 839-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 38MC00598300 NJ Primary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X 38MC00598300 NJ

Addresses

Primary practice location

212 W Route 38
Moorestown, NJ 08057-3238

Mailing address

212 W Route 38
Moorestown, NJ 08057-3238
Phone (973) 839-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080711000043 NJ Part B Supplier - Clinic/Group Practice 5991877789 Receives reassigned benefits from 2 practitioners
Practice locations: Moorestown, NJ

National Provider Directory

National Provider Directory

Locations

212 W Route 38
Moorestown, NJ 08057
Phone (609) 265-7749

212 W Route 38
Ste 480
Moorestown, NJ 08057
Phone (856) 235-2240

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1013184308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573238",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573238",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPINAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "SHERLOCK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-839-1003",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00598300",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "38MC00598300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.