Individual provider Active NPI

Patricia A Spiegel, DC

  • Chiropractor
  • Berlin, NJ
National Provider Identifier
1306854286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3341 Issued in NJ
Practice address
262 South White Horse Pike
Berlin Chiropractic
Berlin, NJ 08009
Phone
(856) 768-4366
Fax
(856) 768-2023
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3341 NJ Primary

Addresses

Primary practice location

262 South White Horse Pike
Berlin Chiropractic
Berlin, NJ 08009

Mailing address

262 South White Horse Pike
Berlin Chiropractic
Berlin, NJ 08009
Phone (856) 768-4366

Other identifiers 1

IdentifierTypeStateIssuer
1781707MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000740 NJ Practitioner - Chiropractic 1052579869 Practice locations: Berlin, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

262 S White Horse Pike
Berlin, NJ 08009-1902
Phone (856) 768-4366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3341NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Ann Spiegel DC LLC Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306854286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 SOUTH WHITE HORSE PIKE",
            "address_2": "BERLIN CHIROPRACTIC",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "08009",
            "telephone_number": "856-768-4366",
            "fax_number": "856-768-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 SOUTH WHITE HORSE PIKE",
            "address_2": "BERLIN CHIROPRACTIC",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "08009",
            "telephone_number": "856-768-4366",
            "fax_number": "856-768-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1781707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.