Individual provider Active NPI

Aidan Kaye, DC, L.AC.

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1801443791
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00764300 Issued in NJ
Practice address
3500 Scotts LN Ste 215
Philadelphia, PA 19129-1836
Phone
(609) 214-5615
NPI assigned
Aug 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X OM000304 PA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00764300 NJ Primary
Chiropractor 111N00000X DC011656 PA

Addresses

Primary practice location

3500 Scotts LN Ste 215
Philadelphia, PA 19129-1836

Mailing address

3500 Scotts LN Ste 215
Philadelphia, PA 19129-1836
Phone (856) 946-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00764300NJMDChiropractor
DC011656PAMDChiropractor
OM000304PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Podium Performance Care Acupuncturist CurrentSince Jan 8, 2023 Accepting new patients

Locations

3500 Scotts Ln
Ste 215
Philadelphia, PA 19129
Phone (609) 214-5615

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": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1801443791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SCOTTS LN STE 215",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291836",
            "telephone_number": "856-946-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SCOTTS LN STE 215",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291836",
            "telephone_number": "609-214-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYE",
        "first_name": "AIDAN",
        "name_prefix": "Dr.",
        "credential": "DC, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-25",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000304",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00764300",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.