Organization Active NPI

Joint Ventures Rehabilitation LLC

  • Chiropractor
  • Sicklerville, NJ
National Provider Identifier
1043760739
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00693600 Issued in NJ
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190321001316 NJ Part B Supplier - Clinic/Group Practice 9234479619 Receives reassigned benefits from 1 practitioner
Practice locations: Sicklerville, NJ

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00693600 NJ Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.