Anthony Carl Depativo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC03883 Issued in NJ

Practice address

1202 Haddonfield Berlin Rd
Suite a
Voorhees, NJ 08043-4850

Phone

(856) 768-1020

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anthony Carl Depativo Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1336164268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 HADDONFIELD BERLIN RD",
            "address_2": "SUITE A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434850",
            "telephone_number": "856-768-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 HADDONFIELD BERLIN RD",
            "address_2": "SUITE A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434850",
            "telephone_number": "856-768-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPATIVO",
        "first_name": "ANTHONY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC03883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "DEPATIVO",
            "middle_name": "CARL",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Frantz Denis, M.D.
• Lisa Denish, LAC
• Dental Arts of South Jersey, P.C.
• Dental Care of Southern New Jersey PA
• Dental Specialists of Voorhees
• Dermatology and Skin Care Center
• Dermatology of South Jersey LLC
• Jonel M Dershem, MD
• Anand Desai, M.D.
• Jessica Ann Deschamps

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.