Organization Active NPI

Evesham Township Chiropractic LLC

Doing business as Neighborhood Chiropractic

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1528270642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVESHAM TOWNSHIP CHIROPRACTIC LLC
Doing business as
Neighborhood Chiropractic
Practice address
2000 Academy Drive
Suite 100
Mount Laurel, NJ 08054
Phone
(856) 727-3536
Fax
(856) 727-4703
NPI assigned
May 3, 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
Samantha Martin-Szabo, DCNPI 1861575771
Title
Co-Owner
Phone
(856) 727-3536

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 Primary

Addresses

Primary practice location

2000 Academy Drive
Suite 100
Mount Laurel, NJ 08054

Mailing address

2000 Academy Drive
Suite 100
Mount Laurel, NJ 08054
Phone (856) 727-3536

Other names 1

  • Neighborhood Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130114000285 NJ Part B Supplier - Clinic/Group Practice 8729231253 Receives reassigned benefits from 1 practitioner
Practice locations: Mt. Laurel, NJ

National Provider Directory

National Provider Directory

Locations

2000 Academy Dr
Ste 100
Mount Laurel, NJ 08054
Phone (609) 727-3536

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528270642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ACADEMY DRIVE",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-727-3536",
            "fax_number": "856-727-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ACADEMY DRIVE",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-727-3536",
            "fax_number": "856-727-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVESHAM TOWNSHIP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN-SZABO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "856-727-3536",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, 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.