NPIMap

Organization Active NPI

Ronald D Peak DC PA

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1356430748
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00127400 Issued in NJ
Legal business name
RONALD D PEAK DC PA
Practice address
4516 Church Rd
Mount Laurel, NJ 08054-2210
Phone
(856) 778-8653
Fax
(856) 596-2832
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2011

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

Authorized official

Name
Ronald D Peak, DC
Title
President Chiropractor
Phone
(856) 778-8653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00127400 NJ Primary

Addresses

Primary practice location

4516 Church Rd
Mount Laurel, NJ 08054-2210

Mailing address

4516 Church Rd
Mount Laurel, NJ 08054-2210
Phone (856) 778-8653

National Provider Directory

National Provider Directory

Locations

4516 Church Rd
Mount Laurel, NJ 08054
Phone (856) 552-0570

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316908800000",
    "number": "1356430748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542210",
            "telephone_number": "856-778-8653",
            "fax_number": "856-596-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542210",
            "telephone_number": "856-778-8653",
            "fax_number": "856-596-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D PEAK DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-09-25",
        "status": "A",
        "authorized_official_last_name": "PEAK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT CHIROPRACTOR",
        "authorized_official_telephone_number": "856-778-8653",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00127400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.