Individual provider Active NPI

Anthony T Holvick, D.C.

  • Chiropractor
  • Galloway, NJ
National Provider Identifier
1013921915
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00427300 Issued in NJ
Practice address
506 S New York Rd
Galloway, NJ 08205-9761
Phone
(609) 748-0222
NPI assigned
Jul 28, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00427300 NJ Primary

Addresses

Primary practice location

506 S New York Rd
Galloway, NJ 08205-9761

Mailing address

506 S New York Rd
Galloway, NJ 08205-9761
Phone (609) 748-0222

Other identifiers 4

IdentifierTypeStateIssuer
42602OtherNJNYL CARE
0140371000OtherNJAMERIHEALTH HOM PIN#
0004662642OtherNJAETNA PIN #
505110OtherNJAMERIHEALTH PPO PIN#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000904 NJ Practitioner - Chiropractic 7214985340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic County Family Spine RehabGroup PAC ID 0648237867, 8 clinicians

Practice addresses (Care Compare)

506 S New York Rd
Galloway, NJ 08205-9761
Phone (609) 748-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00427300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic County Family Spine Rehab Chiropractor CurrentSince Aug 6, 2003 Accepting new patients

Locations

506 S New York Rd
Ste A
Galloway, NJ 08205
Phone (609) 748-0222

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013921915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S NEW YORK RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059761",
            "telephone_number": "609-748-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S NEW YORK RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059761",
            "telephone_number": "609-748-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLVICK",
        "first_name": "ANTHONY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00427300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYL CARE",
            "identifier": "42602",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HOM PIN#",
            "identifier": "0140371000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN #",
            "identifier": "0004662642",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO PIN#",
            "identifier": "505110",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.