Kim S.Nagle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC02575 Issued in NJ

Legal business name

KIM S.NAGLE, DC

Practice address

520 Stokes Road
Suite B1
Medford, NJ 08055-2915

Phone

(609) 714-9494

Fax

(609) 714-9218

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Kim S Nagle, DCNPI 1295785830

Title

Owner, Chiropractor

Phone

(609) 714-9494

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Kim Susan Nagle, D.C.

  • Chiropractor
  • Medford, NJ
  • NPI 1295785830
  Medicare reassignment NPD Authorized official
• John M Ohea, D.C.

  • Chiropractor
  • Medford, NJ
  • NPI 1366494221
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1134494347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 STOKES ROAD",
            "address_2": "SUITE B1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552915",
            "telephone_number": "609-714-9494",
            "fax_number": "609-714-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES ROAD",
            "address_2": "SUITE B1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552915",
            "telephone_number": "609-714-9494",
            "fax_number": "609-714-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM S.NAGLE, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "609-714-9494",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC02575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY NPI",
            "identifier": "1295785830",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geralyn Kelly
• Kenneth a. Yorgey DMD PA
• Richard C Kessler, DMD
• Rebecca Khettry-Clay
• Paul A Kiessling, DDS
• David H Kim, M.D.
• Doshik Kim, DMD
• John Yohan Kim, M.D.
• Christine A King, MD
• Elizabeth King, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.