Individual provider Active NPI

David Velez

  • Chiropractor
  • Atco, NJ
National Provider Identifier
1164801171
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00726200 Issued in NJ
Practice address
289 White Horse Pike Ste 201
Atco, NJ 08004-2257
Phone
(856) 767-8800
NPI assigned
May 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00726200 NJ Primary

Addresses

Primary practice location

289 White Horse Pike Ste 201
Atco, NJ 08004-2257

Mailing address

289 White Horse Pike Ste 201
Atco, NJ 08004-2257
Phone (856) 767-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622000937 NJ Practitioner - Chiropractic 7113238841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Life ProjectGroup PAC ID 4082941091, 2 clinicians

Practice addresses (Care Compare)

987 Haddon Ave
Collingswood, NJ 08108-2048
Phone (856) 477-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Project Chiropractor CurrentSince Oct 1, 2019 Accepting new patients

Locations

987 Haddon Ave
Collingswood, NJ 08108
Phone (856) 477-9330

987 Haddon Ave
#1
Collingswood, NJ 08108
Phone (856) 210-3517

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1164801171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WHITE HORSE PIKE STE 201",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042257",
            "telephone_number": "856-767-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WHITE HORSE PIKE STE 201",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042257",
            "telephone_number": "856-767-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00726200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atco, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.