Individual provider Active NPI

Angela Galasso Hudson, D.C.

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1669662193
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC38004712 Issued in NJ
Practice address
100 Brick Rd
Suite 215
Marlton, NJ 08053-2146
Phone
(856) 334-5810
NPI assigned
Jul 31, 2007
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GA789970OtherPABLUECROSS/BLUESHIELD PROV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MC38004712NJMDChiropractor

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.

Verify at the official NPI Registry.