Individual provider Active NPI

Charles A Carabasi, D.C.

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1114948759
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00387400 Issued in NJ
Practice address
6 E Main St
Marlton, NJ 08053-2157
Phone
(856) 983-3373
Fax
(856) 983-0959
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00387400 NJ Primary
Radiology Chiropractor 111NR0200X 38MC00387400 NJ

Addresses

Primary practice location

6 E Main St
Marlton, NJ 08053-2157

Mailing address

6 E Main St
Marlton, NJ 08053-2157
Phone (856) 983-3373

Other identifiers 1

IdentifierTypeStateIssuer
223159415OtherNJTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130125000390 NJ Practitioner - Chiropractic 7113171265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 E Main St
Marlton, NJ 08053-2157
Phone (856) 983-3373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00387400NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carabasi Chiropractic Center, Inc. Chiropractor CurrentSince Jun 21, 1990 Accepting new patients

Locations

6 E Main St
Marlton, NJ 08053
Phone (856) 983-3373

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1114948759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532157",
            "telephone_number": "856-983-3373",
            "fax_number": "856-983-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532157",
            "telephone_number": "856-983-3373",
            "fax_number": "856-983-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABASI",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00387400",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NJ",
            "license": "38MC00387400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223159415",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.