Green Hill Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREEN HILL CHIROPRACTIC LLC

Practice address

1603 Oxmead Rd
Burlington, NJ 08016-4215

Phone

(609) 386-6100

NPI assigned

May 17, 2023

Last updated

May 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Detullio, D.C.NPI 1801151808

Title

Chiropractor

Phone

(609) 386-6100

Specialties & licenses 1

Addresses

Other names 1

• Green Hill Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Detullio, D.C.

  • Chiropractor
  • Burlington Township, NJ
  • NPI 1801151808
  Medicare reassignment Authorized official
• Mamio Christa Detullio, DC

  • Chiropractor
  • Burlington, NJ
  • NPI 1215279302
  NPD
• Gregory Houck, DC

  • Chiropractor
  • Burlington, NJ
  • NPI 1700479060
  NPD
• William Bradford Anderson

  • Chiropractor
  • Burlington, NJ
  • NPI 1508964214
  NPD (past)
• Stephen John Matlaga, D.C.

  • Chiropractor
  • Burlington, NJ
  • NPI 1912005653
  NPD (past)

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1417648700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 OXMEAD RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164215",
            "telephone_number": "609-386-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 OXMEAD RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164215",
            "telephone_number": "609-386-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "DETULLIO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "609-386-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Hill Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rochelle R Graham, MA, LAC
• Rachel Grant, LPN
• Granville Aid Opco LLC (Granville Place)
• Great Minds Community Care
• Green Hill Chiropractic
• William J Green, DPM
• Julie Beth Greenberg, O.D.
• Charlene Lorraine Gregg
• Nancy Grego, LPN
• Nichole Grey, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.