Organization Active NPI

Calzaretto Chiropractic LLC

  • Chiropractor
  • Cherry Hill, NJ
National Provider Identifier
1396889499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04364 Issued in NJ
Legal business name
CALZARETTO CHIROPRACTIC LLC
Practice address
401 Cooper Landing Rd Ste C17
Cherry Hill, NJ 08002-2587
Phone
(856) 667-0505
Fax
(856) 667-8083
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony F. Calzaretto, D.C.NPI 1093751281
Title
Owner
Phone
(856) 667-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC04364 NJ Primary

Addresses

Primary practice location

401 Cooper Landing Rd Ste C17
Cherry Hill, NJ 08002-2587

Mailing address

401 Cooper Landing Rd Ste C17
Cherry Hill, NJ 08002-2587
Phone (856) 667-0505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070501000002 NJ Part B Supplier - Clinic/Group Practice 4688778079 Receives reassigned benefits from 2 practitioners
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

401 Cooper Landing Rd
Ste C17
Cherry Hill, NJ 08002
Phone (856) 667-0505

Practitioners & affiliated clinicians

Practitioners 3

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396889499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COOPER LANDING RD STE C17",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022587",
            "telephone_number": "856-667-0505",
            "fax_number": "856-667-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COOPER LANDING RD STE C17",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022587",
            "telephone_number": "856-667-0505",
            "fax_number": "856-667-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALZARETTO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALZARETTO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-667-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.