Active NPI
Joseph Edward Coghlan III, D.C.
- Chiropractor
- Turnersville, NJ
National Provider Identifier
1780976506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00685200
- Practice address
- 188 Fries Mill Rd
St. M-3
Turnersville, NJ 08012-2015 - Phone
- (856) 740-2300
- Fax
- (856) 795-2212
- NPI assigned
- May 12, 2011
- Sex
- Male
- 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 | 38MC00685200 | NJ | Primary |
Addresses
Primary practice location
188 Fries Mill Rd
St. M-3
Turnersville, NJ 08012-2015
Mailing address
104 Cromwell Dr
Mullica Hill, NJ 08062-1806
Phone (856) 275-4596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00685200 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panaia Chiropractic of Cherry Hill | Chiropractor | Past | Accepting new patients |
| Pain Control Associates PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1851576698
-
- Interventional Pain Medicine Physician
- Linwood, NJ
- NPI 1225589534
-
- Chiropractor
- Cherry Hill, NJ
- NPI 1104956440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1780976506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CROMWELL DR",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080621806",
"telephone_number": "856-275-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 FRIES MILL RD",
"address_2": "ST. M-3",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080122015",
"telephone_number": "856-740-2300",
"fax_number": "856-795-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGHLAN",
"first_name": "JOSEPH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00685200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turnersville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.