Active NPI
Stanley B. Piltin, D.C.
- Chiropractor
- Somerdale, NJ
National Provider Identifier
1225129018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00207700
- Practice address
- 722 S White Horse Pike
Somerdale, NJ 08083-1247 - Phone
- (856) 784-5700
- Fax
- (856) 784-5030
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00207700 | NJ | Primary |
| Orthopedic Chiropractor | 111NX0800X | 38MC00207700 | NJ |
Addresses
Primary practice location
722 S White Horse Pike
Somerdale, NJ 08083-1247
Mailing address
722 S White Horse Pike
Somerdale, NJ 08083-1247
Phone (856) 784-5700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6489128 | Other | NJ | OXFORD PIN |
| 0935725 | Other | NJ | CIGNA PIN |
| 0075099000 | Other | NJ | AMERIHEALTH PIN |
| 548211 | Other | NJ | AETNA PIN |
| 780222404056 | Other | NJ | HORIZON BCBSNJ PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
722 S White Horse Pike
Somerdale, NJ 08083-1247
Phone (856) 784-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00207700 | NJ | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Horse Chiropractic Center LLC | Orthopedic | Current | Accepting new patients |
Locations
722 S White Horse Pike
Somerdale, NJ 08083
Phone (856) 784-5700
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.
-
- Orthopedic Chiropractor
- Somerdale, NJ
- NPI 1013322437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1225129018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 S WHITE HORSE PIKE",
"city": "SOMERDALE",
"state": "NJ",
"postal_code": "080831247",
"telephone_number": "856-784-5700",
"fax_number": "856-784-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 S WHITE HORSE PIKE",
"city": "SOMERDALE",
"state": "NJ",
"postal_code": "080831247",
"telephone_number": "856-784-5700",
"fax_number": "856-784-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILTIN",
"first_name": "STANLEY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00207700",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NJ",
"license": "38MC00207700",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PIN",
"identifier": "6489128",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "0935725",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PIN",
"identifier": "0075099000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "548211",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBSNJ PIN",
"identifier": "780222404056",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.