Individual provider Active NPI

Anthony Angelo Lafferty, DC

  • Chiropractor
  • West Berlin, NJ
National Provider Identifier
1285709204
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00484700 Issued in NJ
Practice address
403 Commerce LN
Suite 1
West Berlin, NJ 08091-2513
Phone
(856) 768-7737
Fax
(856) 768-4477
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006602L PA
Chiropractor 111N00000X 38MC00484700 NJ Primary

Addresses

Primary practice location

403 Commerce LN
Suite 1
West Berlin, NJ 08091-2513

Mailing address

403 Commerce LN
Suite 1
West Berlin, NJ 08091-2513
Phone (856) 768-7737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000358 NJ Practitioner - Chiropractic 3072688399 Reassigns benefits to 1 organization
Practice locations: Berlin Township, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

403 Commerce LN
Berlin Township, NJ 08091-2513
Phone (856) 768-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC006602LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Aug 10, 2014 Accepting new patients
Advocare , LLC CurrentSince Aug 10, 2014 Accepting new patients
Lafferty Family Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients
Lafferty Family Chiropractic LLC. Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

Organizations & group practices 4

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1285709204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 COMMERCE LN",
            "address_2": "SUITE 1",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912513",
            "telephone_number": "856-768-7737",
            "fax_number": "856-768-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 COMMERCE LN",
            "address_2": "SUITE 1",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912513",
            "telephone_number": "856-768-7737",
            "fax_number": "856-768-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "ANTHONY",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006602L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00484700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.