Staci Avakian, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00657300 Issued in NJ

Practice address

1464 Harding Rd
Vineland, NJ 08361-6526

Phone

(609) 364-1999

NPI assigned

Jun 5, 2007

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back Pain Relief CenterGroup PAC ID 4183802077, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back Pain Relief Center

  • Durable Medical Equipment & Medical Supplies
  • Vineland, NJ
  • NPI 1194018788
  Medicare reassignment Care Compare group NPD
• The Wellness Center, a Chiropractic Place, LLC

  • Chiropractor
  • Vineland, NJ
  • NPI 1295052926
  Authorized official Same address or phone
• Mid-Atlantic Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Vineland, NJ
  • NPI 1023415023
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1053513465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 HARDING RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616526",
            "telephone_number": "609-364-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 HARDING RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616526",
            "telephone_number": "609-364-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKIAN",
        "first_name": "STACI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00657300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamer A Attia, M.D.
• Stephanie Aucello, APN
• Lauren Michelle Aucott, PA-C
• Audiology Services Company USA, LLC
• Kapenda Aurizio, CCC-SLP
• Aw Holdings LLC (Benchmark Human Services)
• Lourdes M Ayala, LAC
• Aydan Behavioral Health
• Aydan High Quality Healthcare
• Aydan High Quality Healthcare (Aydan Nursing)

• Chiropractor in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.