Holly Chiropractic Associates, P.C.

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

38MC00391500 Issued in NJ

Legal business name

HOLLY CHIROPRACTIC ASSOCIATES, P.C.

Practice address

1852 Burlington Mount Holly Rd
Westampton, NJ 08060-1070

Phone

(609) 265-8100

Fax

(609) 265-8369

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott W. Mahoney, D.C.NPI 1467477745

Title

President

Phone

(609) 265-8100

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott William Mahoney, D.C.

  • Chiropractor
  • Westampton, NJ
  • NPI 1467477745
  Medicare reassignment Authorized official
• Alex Cadwallader, DPT

  • Physical Therapist
  • Delran, NJ
  • NPI 1518331271
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1649468893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 BURLINGTON MOUNT HOLLY RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080601070",
            "telephone_number": "609-265-8100",
            "fax_number": "609-265-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 BURLINGTON MOUNT HOLLY RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080601070",
            "telephone_number": "609-265-8100",
            "fax_number": "609-265-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY CHIROPRACTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-265-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00391500",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NJ",
            "license": "38MC00391500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "806872",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "MA483029",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "1172680",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aisha C Holloway
• Ashanti Holloway
• Mia Holloway
• Tahira Holloway
• Yvonne Holloway
• Debra Mae Holman, RN
• Dante Holmes-Davis
• Arianna Holmes
• Lori Holmes
• Matthew Holmes, SUPPORT COORDINATOR

• Independent Medical Examiner Chiropractor in Westampton, NJ
• Providers in Westampton, NJ by specialty
• Independent Medical Examiner Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.