Active NPI
Joint Ventures Rehabilitation LLC
- Chiropractor
- Sicklerville, NJ
National Provider Identifier
1043760739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00693600
- Legal business name
- JOINT VENTURES REHABILITATION LLC
- Practice address
- 817 Erial New Brooklyn Rd
Sicklerville, NJ 08081-3278 - Phone
- (856) 782-2077
- Fax
- (856) 782-2078
- NPI assigned
- Oct 6, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Taina Cruz
- Title
- Office Manager
- Phone
- (856) 782-2077
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Westmont, NJ
- NPI 1760429351
-
- Chiropractor
- Odessa, FL
- NPI 1356642102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190321001316 | NJ | Part B Supplier - Clinic/Group Practice | 9234479619 |
Receives reassigned benefits from 1 practitioner Practice locations: Sicklerville, NJ |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00693600 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
817 Erial New Brooklyn Rd
Sicklerville, NJ 08081-3278
Mailing address
817 Erial New Brooklyn Rd
Sicklerville, NJ 08081-3278
Phone (856) 782-2077
Other names 1
NPPES NPI Registry- HealthSource of Sicklerville
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2019.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555545600000",
"number": "1043760739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 ERIAL NEW BROOKLYN RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813278",
"telephone_number": "856-782-2077",
"fax_number": "856-782-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 ERIAL NEW BROOKLYN RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813278",
"telephone_number": "856-782-2077",
"fax_number": "856-782-2078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOINT VENTURES REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-06",
"last_updated": "2019-04-18",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "TAINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-782-2077"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00693600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthSource of Sicklerville",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HealthSource of Sicklerville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.