Individual provider Active NPI

Alexandra Patricia Dilba, DC

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1285013045
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00726300 Issued in NJ
Practice address
230 N Maple Ave
G2
Marlton, NJ 08053-9400
Phone
(856) 983-5422
Fax
(856) 983-6579
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 38MC00726300 NJ Primary

Addresses

Primary practice location

230 N Maple Ave
G2
Marlton, NJ 08053-9400

Mailing address

230 N Maple Ave
G2
Marlton, NJ 08053-9400
Phone (856) 983-5422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929000193 NJ Practitioner - Chiropractic 8527376342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Health Goals Chiropractic Center, Inc.Group PAC ID 0749377091, 6 clinicians

Practice addresses (Care Compare)

230 N Maple Ave
Suite G2
Marlton, NJ 08053-9415
Phone (856) 983-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Goals Chiropractic Center, Inc. Chiropractor CurrentSince Sep 1, 2015 Accepting new patients

Locations

230 N Maple Ave
Ste G2
Marlton, NJ 08053
Phone (856) 983-5422

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1285013045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE",
            "address_2": "G2",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539400",
            "telephone_number": "856-983-5422",
            "fax_number": "856-983-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE",
            "address_2": "G2",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539400",
            "telephone_number": "856-983-5422",
            "fax_number": "856-983-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILBA",
        "first_name": "ALEXANDRA",
        "middle_name": "PATRICIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00726300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.