Individual provider Active NPI

Jacquelyn Maria Kane, D.C

  • Chiropractor
  • Delran, NJ
National Provider Identifier
1477930618
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00725100 Issued in NJ
Practice address
1361 Fairview Blvd
Suite H
Delran, NJ 08075-1473
Phone
(856) 544-3585
Fax
(856) 544-3586
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00725100 NJ Primary

Addresses

Primary practice location

1361 Fairview Blvd
Suite H
Delran, NJ 08075-1473

Mailing address

1361 Fairview Blvd
Suite H
Delran, NJ 08075-1473
Phone (856) 544-3585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220001757 NJ Practitioner - Chiropractic 1951682517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8008 Route 130
Suite 135
Delran, NJ 08075-1869
Phone (856) 544-3585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00725100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Family Chiropractic PC Chiropractor CurrentSince Oct 24, 2016 Accepting new patients

Locations

8008 Route 130
Ste 135
Delran, NJ 08075
Phone (856) 544-3585

1361 Fairview Blvd
Ste H
Delran, NJ 08075
Phone (856) 544-3585

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1477930618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 FAIRVIEW BLVD",
            "address_2": "SUITE H",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751473",
            "telephone_number": "856-544-3585",
            "fax_number": "856-544-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 FAIRVIEW BLVD",
            "address_2": "SUITE H",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751473",
            "telephone_number": "856-544-3585",
            "fax_number": "856-544-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "JACQUELYN",
        "middle_name": "MARIA",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00725100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.