Individual provider Active NPI

Joseph John Schipske Jr., DC

  • Chiropractor
  • Pennsauken, NJ
National Provider Identifier
1033131065
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00332500 Issued in NJ
Practice address
6650 Browning Road
Suite 012
Pennsauken, NJ 08109-1479
Phone
(856) 663-4414
Fax
(856) 486-9064
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00332500 NJ Primary
Chiropractor 111N00000X DC003301L PA
Chiropractor 111N00000X CH5395 FL

Addresses

Primary practice location

6650 Browning Road
Suite 012
Pennsauken, NJ 08109-1479

Mailing address

6650 Browning Road
Suite 012
Pennsauken, NJ 08109-1479
Phone (856) 663-4414

Other identifiers 16

IdentifierTypeStateIssuer
0110676000/010676GRPOtherNJAMERIHEALTH
1110761OtherHORIZON MERCY
0000514604OtherKEYSTONE HMO
0000514604OtherKEYSTONE HMO KEYCARE 6
949448OtherUS HEALTHCARE
P2939905OtherNJOXFORD
33308OtherUNION LABOR LIFE INSUR
520362OtherUNITED HEALTHCARE RAIL
0000520362OtherBLUE SHIELD OF WESTERN
520362OtherMEDICARE PRIMARY
0000514604OtherKEYSTONE
33308OtherOPERATING ENGINEERS
5667526/2360862GRPOtherNJAETNA
1488104MedicaidNJ
5974547OtherAETNA
5974547/0949448GRPOtherNJAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH5395FLMDChiropractor
DC003301LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1033131065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 BROWNING ROAD",
            "address_2": "SUITE 012",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091479",
            "telephone_number": "856-663-4414",
            "fax_number": "856-486-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 BROWNING ROAD",
            "address_2": "SUITE 012",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091479",
            "telephone_number": "856-663-4414",
            "fax_number": "856-486-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPSKE",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00332500",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003301L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0110676000/010676GRP",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY",
            "identifier": "1110761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO",
            "identifier": "0000514604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO KEYCARE 6",
            "identifier": "0000514604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "949448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2939905",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNION LABOR LIFE INSUR",
            "identifier": "33308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE RAIL",
            "identifier": "520362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF WESTERN",
            "identifier": "0000520362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PRIMARY",
            "identifier": "520362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0000514604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING ENGINEERS",
            "identifier": "33308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5667526/2360862GRP",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1488104",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5974547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5974547/0949448GRP",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.