Northeast Chiropractic Associates, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-002985-L Issued in PA

Legal business name

NORTHEAST CHIROPRACTIC ASSOCIATES, P.C.

Practice address

10101 Academy Rd
Suite 102
Philadelphia, PA 19114-1120

Phone

(215) 824-1000

Fax

(215) 824-4460

NPI assigned

Aug 15, 2006

Last updated

Apr 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamil M Zaid, D.C.NPI 1114930187

Title

President

Phone

(215) 824-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamil M Zaid, D.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1114930187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1225041411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "address_2": "SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-824-1000",
            "fax_number": "215-824-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "address_2": "SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-824-1000",
            "fax_number": "215-824-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CHIROPRACTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "ZAID",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-824-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-002985-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015350900003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northeast Behavioral Medicine Inc.
• Northeast Chiropractic Bodyshop, P.C.
• Northeast Community Center for Mental Health & Mental Retardation
• Northeast Community Center for Mental Health & Mental Retardation
• Northeast Community Center for Mental Health & Mental Retardation
• Northeast Community Center for Mental Health & Mental Retardation

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.