Active NPI
Stephen A Pisker, DC
- Chiropractor
- Swedesboro, NJ
National Provider Identifier
1578561460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC003829
- Practice address
- 1903 Kings Highway
Swedesboro, NJ 08085 - Phone
- (856) 467-9600
- Fax
- (856) 467-1314
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC003829 | NJ | Primary |
Addresses
Primary practice location
1903 Kings Highway
Swedesboro, NJ 08085
Mailing address
1903 Kings Highway P.O Box 217
Swedesboro, NJ 08085
Phone (856) 467-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6261205 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110210000069 | NJ | Practitioner - Chiropractic | 2163602061 | Practice locations: Swedesboro, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1903 Kings Hwy
Swedesboro, NJ 08085-1637
Phone (856) 467-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC003829 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1578561460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 KINGS HIGHWAY P.O BOX 217",
"city": "SWEDESBORO",
"state": "NJ",
"postal_code": "08085",
"telephone_number": "856-467-9600",
"fax_number": "856-467-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 KINGS HIGHWAY",
"city": "SWEDESBORO",
"state": "NJ",
"postal_code": "08085",
"telephone_number": "856-467-9600",
"fax_number": "856-467-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISKER",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC003829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6261205",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swedesboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.