Organization Active NPI

Sicklerville Chiropractic

  • Physical Therapy Clinic/Center
  • Sicklerville, NJ
National Provider Identifier
1093877904
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MC03689 Issued in NJ
Legal business name
SICKLERVILLE CHIROPRACTIC
Practice address
504 Sicklerville Rd
Sicklerville, NJ 08081-2626
Phone
(856) 875-1515
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Gregory Biggiani, D.C.NPI 1679642755
Title
Chiropractor
Phone
(856) 875-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MC03689 NJ Primary

Addresses

Primary practice location

504 Sicklerville Rd
Sicklerville, NJ 08081-2626

Mailing address

504 Sicklerville Rd
Sicklerville, NJ 08081-2626
Phone (856) 875-1515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000702 NJ Part B Supplier - Clinic/Group Practice 3577739036 Receives reassigned benefits from 4 practitioners
Practice locations: Sicklerville, NJ

National Provider Directory

National Provider Directory

Locations

504 Sicklerville Rd
Sicklerville, NJ 08081
Phone (856) 875-1515

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1093877904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SICKLERVILLE RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812626",
            "telephone_number": "856-875-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SICKLERVILLE RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812626",
            "telephone_number": "856-875-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICKLERVILLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "BIGGIANI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "856-875-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "MC03689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 7, 2011; 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.