Siobhan Ann Pakenham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00666700 Issued in NJ

Practice address

1171 Fischer Blvd
Toms River, NJ 08753-3090

Phone

(732) 270-2811

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atlantic Wellness and Spine Center, LLC

  • Chiropractor
  • Toms River, NJ
  • NPI 1386063600
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1144371691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 FISCHER BLVD",
            "address_2": "SUITE 5",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533090",
            "telephone_number": "732-270-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 FISCHER BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533090",
            "telephone_number": "732-270-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKENHAM",
        "first_name": "SIOBHAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00666700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hosanna Pacheco
• Frederick Charles Padovano, D.C.
• Jenna Pagano
• Tommy Pagonis, DDS
• Austin Michael Paisley, PHARMD
• Haig Pakhchanian, MD
• Alfred Errol Palmieri, M.D.
• Nicole Kristen Palmieri, APN
• Allan Palush Jr., LPC
• Jane CHI-Chun Pan, MD

• Chiropractor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.