Organization Active NPI

Oliver Chiropractic Assoc P.a.

  • Rehabilitation Chiropractor
  • Moorestown, NJ
National Provider Identifier
1487862306
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00190700 Issued in NJ
Legal business name
OLIVER CHIROPRACTIC ASSOC P.A.
Practice address
120 E Camden Ave
Moorestown, NJ 08057-1625
Phone
(856) 778-8996
Fax
(856) 778-5705
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Dr. Thomas D Oliver, D.CNPI 1285788497
Title
Doctor
Phone
(856) 778-8996

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 38MC00190700 NJ Primary

Addresses

Primary practice location

120 E Camden Ave
Moorestown, NJ 08057-1625

Mailing address

120 E Camden Ave
Moorestown, NJ 08057-1625
Phone (856) 778-8996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050725000232 NJ Part B Supplier - Clinic/Group Practice 5395772016 Receives reassigned benefits from 1 practitioner
Practice locations: Moorestown, NJ

National Provider Directory

National Provider Directory

Locations

120 E Camden Ave
Moorestown, NJ 08057
Phone (609) 778-8996

Practitioners & affiliated clinicians

Practitioners 7

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1487862306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E CAMDEN AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571625",
            "telephone_number": "856-778-8996",
            "fax_number": "856-778-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E CAMDEN AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571625",
            "telephone_number": "856-778-8996",
            "fax_number": "856-778-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER CHIROPRACTIC ASSOC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "856-778-8996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00190700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.