Individual provider Active NPI

Anthony C Carabasi, D.C.

  • Chiropractor
  • Cherry Hill, NJ
National Provider Identifier
1124090402
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00446500 Issued in NJ
Practice address
1919 Greentree Rd
Suite a
Cherry Hill, NJ 08003-1112
Phone
(856) 761-8100
Fax
(856) 761-8107
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00446500 NJ Primary

Addresses

Primary practice location

1919 Greentree Rd
Suite a
Cherry Hill, NJ 08003-1112

Mailing address

1919 Greentree Rd
Suite a
Cherry Hill, NJ 08003-1112
Phone (856) 761-8100

Other identifiers 1

IdentifierTypeStateIssuer
223751475COtherNJHORIZON BC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120504000026 NJ Practitioner - Chiropractic 6305915661 Reassigns benefits to 2 organizations
Practice locations: Cherry Hill, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 Greentree Rd
Suite a
Cherry Hill, NJ 08003-1115
Phone (856) 761-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00446500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Wellness Group Chiropractor CurrentSince Dec 9, 2019 Accepting new patients
Greentree Medical Center Chiropractor CurrentSince Dec 20, 2023 Accepting new patients

Locations

1919 Greentree Rd
Cherry Hill, NJ 08003
Phone (856) 761-8100

1919 Greentree Rd
Ste A
Cherry Hill, NJ 08003
Phone (856) 761-8100

Organizations & group practices 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1124090402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 GREENTREE RD",
            "address_2": "SUITE A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031112",
            "telephone_number": "856-761-8100",
            "fax_number": "856-761-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GREENTREE RD",
            "address_2": "SUITE A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031112",
            "telephone_number": "856-761-8100",
            "fax_number": "856-761-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABASI",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00446500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS",
            "identifier": "223751475C",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.