Optimal Health Chiropractic and Sports Injury

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OPTIMAL HEALTH CHIROPRACTIC AND SPORTS INJURY

Practice address

556 Egg Harbor Rd Ste a
Sewell, NJ 08080-2326

Phone

(856) 295-0366

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Richard Carlson, DC

Title

Managing Partner

Phone

(856) 295-0366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Nicholas Gene Tagliaferro, DC

  • Rehabilitation Chiropractor
  • Columbus, OH
  • NPI 1841778677

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1295598753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 EGG HARBOR RD STE A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802326",
            "telephone_number": "856-295-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EGG HARBOR RD STE A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802326",
            "telephone_number": "856-295-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC AND SPORTS INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "856-295-0366",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tate Olson, PT, DPT
• Sherline None Oluchina, DPT
• Margaret Onofrio, APN
• Maria Caitlin Onushco, PA-C
• Opco (NJ) Sewell - 600 Medical Center Drive, LLC
• Optimo Physician Associates
• Matthew Orwitz
• Bendel O Osaghae, CEO
• Lauren Osborne
• Valsa Ouseph, M.D.

• Chiropractor in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.