Organization Active NPI

Panaia Chiropractic & Rehabilitation of Vineland

  • Chiropractor
  • Vineland, NJ
National Provider Identifier
1295125763
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00496200 Issued in NJ
Legal business name
PANAIA CHIROPRACTIC & REHABILITATION OF VINELAND
Practice address
242 W Landis Ave
Vineland, NJ 08360-8109
Phone
(856) 692-5900
Fax
(856) 692-2848
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Dr. James E PanaiaNPI 1497887152
Title
Owner
Phone
(856) 692-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00496200 NJ Primary

Addresses

Primary practice location

242 W Landis Ave
Vineland, NJ 08360-8109

Mailing address

242 W Landis Ave
Vineland, NJ 08360-8109
Phone (856) 692-5900

Other names 1

  • Panaia Chiropractic & Rehabilitation of Vineland, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200206000411 NJ Part B Supplier - Clinic/Group Practice 1557797701 Receives reassigned benefits from 2 practitioners
Practice locations: Vineland, NJ

National Provider Directory

National Provider Directory
Tax ID family
Panaia Chiropractic Rehabilitation of Vineland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1295125763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608109",
            "telephone_number": "856-692-5900",
            "fax_number": "856-692-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608109",
            "telephone_number": "856-692-5900",
            "fax_number": "856-692-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAIA CHIROPRACTIC & REHABILITATION OF VINELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "PANAIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-692-5900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00496200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panaia Chiropractic & Rehabilitation of Vineland, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.