Individual provider Active NPI

Kevin P Szabo, D.C.

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1184707093
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC05098 Issued in NJ
Practice address
2000 Academy Dr
Suite 100
Mount Laurel, NJ 08054-2831
Phone
(856) 727-3536
Fax
(856) 727-4703
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC05098 NJ Primary

Addresses

Primary practice location

2000 Academy Dr
Suite 100
Mount Laurel, NJ 08054-2831

Mailing address

2000 Academy Dr
Suite 100
Mount Laurel, NJ 08054-2831
Phone (856) 727-3536

Other identifiers 1

IdentifierTypeStateIssuer
8282901MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC05098NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evesham Township Chiropractic LLC Chiropractor PastSince Sep 8, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184707093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ACADEMY DR",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542831",
            "telephone_number": "856-727-3536",
            "fax_number": "856-727-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ACADEMY DR",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542831",
            "telephone_number": "856-727-3536",
            "fax_number": "856-727-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZABO",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8282901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.