Active NPI
Angela Galasso Hudson, D.C.
- Chiropractor
- Marlton, NJ
National Provider Identifier
1669662193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC38004712
- Practice address
- 100 Brick Rd
Suite 215
Marlton, NJ 08053-2146 - Phone
- (856) 334-5810
- NPI assigned
- Jul 31, 2007
- Last updated
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | MC38004712 | NJ | Primary |
Addresses
Primary practice location
100 Brick Rd
Suite 215
Marlton, NJ 08053-2146
Mailing address
2 Iron Gate Rd
Marlton, NJ 08053-2475
Phone (609) 519-9392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA789970 | Other | PA | BLUECROSS/BLUESHIELD PROV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110609000341 | NJ | Practitioner - Chiropractic | 5395922850 | Practice locations: Marlton, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Brick Rd
Suite 215
Marlton, NJ 08053-2146
Phone (856) 334-5810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC38004712 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1669662193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 IRON GATE RD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532475",
"telephone_number": "609-519-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRICK RD",
"address_2": "SUITE 215",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532146",
"telephone_number": "856-334-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "ANGELA",
"middle_name": "GALASSO",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC38004712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD PROV",
"identifier": "GA789970",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.