Gerald M Creedon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2127 Issued in NJ

Practice address

200 Brace Rd
Cherry Hill, NJ 08034-2623

Phone

(856) 795-5333

Fax

(856) 795-5336

NPI assigned

Dec 15, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1980

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creedon Chiropractic Center

  • Chiropractor
  • Cherry Hill, NJ
  • NPI 1821300229
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1356403158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342623",
            "telephone_number": "856-795-5333",
            "fax_number": "856-795-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342623",
            "telephone_number": "856-795-5333",
            "fax_number": "856-795-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEDON",
        "first_name": "GERALD",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENCE NUMBER",
            "identifier": "2127",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory T Crawford, OT
• James Lee Crawford, MD
• Michelle Christine Crawford, MD
• Lawrence Creamer
• Creedon Chiropractic Center
• Morgan K Crescenzo, PT, DPT
• Jalisha Crews
• Wayne Creyaufmiller, DC
• Alyssa Crincoli
• Adrienne Cristiano, RPH

• Chiropractor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.