Individual provider Active NPI

Eric Allen Nelson, DC

  • Chiropractor
  • Atco, NJ
National Provider Identifier
1790845105
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00520400 Issued in NJ
Practice address
289 White Horse Pike Ste 201
Atco, NJ 08004-2257
Phone
(856) 767-8800
Fax
(856) 767-8056
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 28MC00520400 NJ
Sports Physician Chiropractor 111NS0005X 38MC00520400 NJ
Chiropractor 111N00000X 38MC00520400 NJ Primary

Addresses

Primary practice location

289 White Horse Pike Ste 201
Atco, NJ 08004-2257

Mailing address

289 White Horse Pike Ste 201
Atco, NJ 08004-2257
Phone (856) 767-8800

Other identifiers 1

IdentifierTypeStateIssuer
7768702MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107001036 NJ Practitioner - Chiropractic 9739378688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

289 White Horse Pike
Suite 201
Atco, NJ 08004-2257
Phone (856) 767-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28MC00520400NJMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Chiropractic Center, LLC Chiropractor CurrentSince Jun 17, 1998 Accepting new patients

Locations

289 White Horse Pike
Ste 201
Atco, NJ 08004
Phone (856) 340-1518

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790845105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WHITE HORSE PIKE STE 201",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042257",
            "telephone_number": "856-767-8800",
            "fax_number": "856-767-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WHITE HORSE PIKE STE 201",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042257",
            "telephone_number": "856-767-8800",
            "fax_number": "856-767-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ERIC",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "28MC00520400",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00520400",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00520400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7768702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atco, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.