NPIMap

Organization Active NPI

Ray Chiropractic Center, LLC

  • Chiropractor
  • Sicklerville, NJ
National Provider Identifier
1467512400
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00304600 Issued in NJ
Legal business name
RAY CHIROPRACTIC CENTER, LLC
Practice address
507 Williamstown New Freedom Rd
Sicklerville, NJ 08081-1775
Phone
(856) 629-1199
Fax
(856) 629-3909
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Dr. Steven Richard Ray, DCNPI 1538175468
Title
Owner
Phone
(856) 629-1199

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC00304600 NJ Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC00304500 NJ

Addresses

Primary practice location

507 Williamstown New Freedom Rd
Sicklerville, NJ 08081-1775

Mailing address

507 Williamstown Rd
New Freedom Rd.
Sicklerville, NJ 08081-1775
Phone (856) 629-1199

Other identifiers 6

IdentifierTypeStateIssuer
0104420000OtherNJKEYSTONE HEALTH INS.
2412129000OtherNJAMERIHEALTH HMO
0119350OtherNJAETNA HEALTH INS.
1167258MedicaidNJ
453169OtherNJNEW JERSEY CARPENTERS
2412129000OtherNJAMERIHEALTH PPO GROUP #

National Provider Directory

National Provider Directory

Locations

507 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 629-1199

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1467512400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WILLIAMSTOWN RD",
            "address_2": "NEW FREEDOM RD.",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811775",
            "telephone_number": "856-629-1199",
            "fax_number": "856-629-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WILLIAMSTOWN NEW FREEDOM RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811775",
            "telephone_number": "856-629-1199",
            "fax_number": "856-629-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-629-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00304600",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00304500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH INS.",
            "identifier": "0104420000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2412129000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH INS.",
            "identifier": "0119350",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1167258",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY CARPENTERS",
            "identifier": "453169",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH  PPO GROUP #",
            "identifier": "2412129000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.