Organization Active NPI

Alluvium Chiropractic Center, P.C.

  • Chiropractor
  • Voorhees, NJ
National Provider Identifier
1750595930
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00341800 Issued in NJ
Legal business name
ALLUVIUM CHIROPRACTIC CENTER, P.C.
Practice address
1213 Haddonfield Berlin Rd
Voorhees, NJ 08043-4851
Phone
(856) 784-3373
Fax
(856) 784-4530
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Colleen Nicoletto
Title
Office Manager
Phone
(856) 784-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00341800 NJ Primary

Addresses

Primary practice location

1213 Haddonfield Berlin Rd
Voorhees, NJ 08043-4851

Mailing address

1213 Haddonfield Berlin Rd
Voorhees, NJ 08043-4851
Phone (856) 784-3373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220000589 NJ Part B Supplier - Clinic/Group Practice 7315135233 Receives reassigned benefits from 2 practitioners
Practice locations: Voorhees, NJ

National Provider Directory

National Provider Directory

Locations

1213 Haddonfield Berlin Rd
Voorhees, NJ 08043
Phone (609) 784-3373

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1750595930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HADDONFIELD BERLIN RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434851",
            "telephone_number": "856-784-3373",
            "fax_number": "856-784-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HADDONFIELD BERLIN RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434851",
            "telephone_number": "856-784-3373",
            "fax_number": "856-784-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLUVIUM CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "NICOLETTO",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-784-3373"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00341800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.