Organization Active NPI

Kane Family Chiropractic PC

  • Chiropractor
  • Delran, NJ
National Provider Identifier
1023551769
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00725100 Issued in NJ
Legal business name
KANE FAMILY CHIROPRACTIC PC
Practice address
1361 Fairview Blvd
Suite H
Delran, NJ 08075-1473
Phone
(856) 544-3585
Fax
(856) 544-3586
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. Jacquelyn Maria Kane, DCNPI 1477930618
Title
Chiropractor
Phone
(856) 544-3585

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00725100 NJ Primary

Addresses

Primary practice location

1361 Fairview Blvd
Suite H
Delran, NJ 08075-1473

Mailing address

1361 Fairview Blvd
Suite H
Delran, NJ 08075-1473
Phone (856) 544-3585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161206000320 NJ Part B Supplier - Clinic/Group Practice 7810277035 Receives reassigned benefits from 1 practitioner
Practice locations: Delran, NJ

National Provider Directory

National Provider Directory

Locations

1361 Fairview Blvd
Ste H
Delran, NJ 08075
Phone (856) 544-3585

8008 Route 130
Ste 135
Delran, NJ 08075
Phone (856) 544-3585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1023551769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 FAIRVIEW BLVD",
            "address_2": "SUITE H",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751473",
            "telephone_number": "856-544-3585",
            "fax_number": "856-544-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 FAIRVIEW BLVD",
            "address_2": "SUITE H",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751473",
            "telephone_number": "856-544-3585",
            "fax_number": "856-544-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANE FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "856-544-3585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00725100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.