Organization Active NPI

Salem County Chiropractic Center PC

  • Chiropractor
  • Pennsville, NJ
National Provider Identifier
1073642955
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00216500 Issued in NJ
Legal business name
SALEM COUNTY CHIROPRACTIC CENTER PC
Practice address
133C North Broadway
Pennsville, NJ 08070
Phone
(856) 678-6607
Fax
(856) 678-6870
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Mr. Ivan M Nadler, DC
Title
Owner Chiropractor
Phone
(856) 678-6607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00216500 NJ Primary

Addresses

Primary practice location

133C North Broadway
Pennsville, NJ 08070

Mailing address

133C North Broadway
Pennsville, NJ 08070
Phone (856) 678-6607

National Provider Directory

National Provider Directory

Locations

133 N Broadway
Ste C
Pennsville, NJ 08070
Phone (856) 678-6607

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1073642955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133C NORTH BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "08070",
            "telephone_number": "856-678-6607",
            "fax_number": "856-678-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133C NORTH BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "08070",
            "telephone_number": "856-678-6607",
            "fax_number": "856-678-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM COUNTY CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "856-678-6607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00216500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.