Individual provider Active NPI

Jeffrey M Clancey, DC

  • Chiropractor
  • Yardley, PA
National Provider Identifier
1265487441
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00542500 Issued in NJ
Practice address
301 Oxford Valley Rd
Suite 1601
Yardley, PA 19067-7706
Phone
(215) 369-0320
Fax
(215) 369-0327
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007342L PA
Chiropractor 111N00000X 38MC00542500 NJ Primary

Addresses

Primary practice location

301 Oxford Valley Rd
Suite 1601
Yardley, PA 19067-7706

Mailing address

301 Oxford Valley Rd
Suite 1601
Yardley, PA 19067
Phone (215) 369-0320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031201000154 NJ Practitioner - Chiropractic 6608789037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkowitz and Clancey, P.C.Group PAC ID 2860305281, 5 clinicians

Practice addresses (Care Compare)

136 Franklin Corner Rd
Suite 110
Lawrenceville, NJ 08648-2586
Phone (609) 912-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00542500NJMDChiropractor
DC007342LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Berkowitz and Clancey, P.C. Chiropractor CurrentSince Mar 1, 1999 Accepting new patients
Optimum Health and Performance, LLC Chiropractor PastSince Oct 10, 2017 Accepting new patients

Locations

136 Franklin Corner Rd
Fl 1
Lawrence Township, NJ 08648

136 Franklin Corner Rd
Ste 110
Lawrenceville, NJ 08648
Phone (609) 531-8939

301 Oxford Valley Rd
Ste 1601A
Yardley, PA 19067
Phone (215) 369-0320

301 Oxford Valley Rd
Ste 1601
Yardley, PA 19067
Phone (215) 369-0320

Organizations & group practices 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1265487441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "SUITE 1601",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "215-369-0320",
            "fax_number": "215-369-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "SUITE 1601",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "215-369-0320",
            "fax_number": "215-369-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCEY",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007342L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00542500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.