Individual provider Active NPI

Kelli McLaughlin Velez, D.C.

  • Sports Physician Chiropractor
  • Collingswood, NJ
National Provider Identifier
1316336316
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38MC00725200 Issued in NJ
Practice address
987 Haddon Ave
Collingswood, NJ 08108-2048
Phone
(856) 477-9330
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 38MC00725200 NJ Primary

Addresses

Primary practice location

987 Haddon Ave
Collingswood, NJ 08108-2048

Mailing address

40 Melrose Ave
Haddon TWP, NJ 08108-2314
Phone (856) 477-9330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511001168 NJ Practitioner - Chiropractic 8820317001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Life ProjectGroup PAC ID 4082941091, 2 clinicians

Practice addresses (Care Compare)

987 Haddon Ave
Collingswood, NJ 08108-2048
Phone (856) 477-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00725200NJMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Chiropractic Center, LLC Sports Physician CurrentSince Apr 6, 2015 Accepting new patients
Active Life Project Sports Physician CurrentSince Jun 11, 2019 Accepting new patients

Locations

289 White Horse Pike
Ste 201
Atco, NJ 08004
Phone (856) 340-1518

987 Haddon Ave
Collingswood, NJ 08108
Phone (856) 477-9330

987 Haddon Ave
#1
Collingswood, NJ 08108
Phone (856) 210-3517

Organizations & group practices 2

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1316336316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MELROSE AVE",
            "city": "HADDON TWP",
            "state": "NJ",
            "postal_code": "081082314",
            "telephone_number": "856-477-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082048",
            "telephone_number": "856-477-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "KELLI",
        "middle_name": "MCLAUGHLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00725200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.