Haydi Edward, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00755500 Issued in NJ

Practice address

1501 Old Black Horse Pike Apt O6
Blackwood, NJ 08012-4934

Phone

(267) 239-7877

NPI assigned

Mar 7, 2021

Last updated

Mar 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Chiropractic Associates PAGroup PAC ID 6608823448, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Chiropractic Associates PA

  • Chiropractor
  • Atco, NJ
  • NPI 1578615357
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1568057933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT O6",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124934",
            "telephone_number": "267-239-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT O6",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124934",
            "telephone_number": "267-239-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARD",
        "first_name": "HAYDI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00755500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerald J Durivage, APN
• Eckerd Corporation (Rite Aid Pharmacy 10437)
• Khalil Elliott, MBA, MSW, LSW
• Elmwood Hills Healthcare Center LLC
• Elmwood Hills Healthcare Center LLC
• Epiphany Wellness
• Equanimity Counseling LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.