Active NPI
Dynamic Chiropractic
- Chiropractor
- Sicklerville, NJ
National Provider Identifier
1700812880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- DYNAMIC CHIROPRACTIC
- Practice address
- 817 Erial New Brooklyn Road
Sicklerville, NJ 08081-3278 - Phone
- (856) 782-2077
- Fax
- (856) 782-2078
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Cerutti, DC
- Title
- DC Owner
- Phone
- (856) 782-2077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
817 Erial New Brooklyn Road
Sicklerville, NJ 08081-3278
Mailing address
817 Erial New Brooklyn Road
Sicklerville, NJ 08081-3278
Phone (856) 782-2077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189715000 | Other | AMERIHEALTH HMO | |
| 802949 | Other | AMERIHEALTH PPO |
National Provider Directory
National Provider DirectoryLocations
817 New Brooklyn Erial Rd
Sicklerville, NJ 08081
Phone (856) 782-2077
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Galloway, NJ
- NPI 1467985952
-
- Chiropractor
- Westmont, NJ
- NPI 1760429351
-
- Chiropractor
- Odessa, FL
- NPI 1356642102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700812880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 ERIAL NEW BROOKLYN ROAD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813278",
"telephone_number": "856-782-2077",
"fax_number": "856-782-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 ERIAL NEW BROOKLYN ROAD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813278",
"telephone_number": "856-782-2077",
"fax_number": "856-782-2078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CERUTTI",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "DC OWNER",
"authorized_official_telephone_number": "856-782-2077",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0189715000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "802949",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.