Individual provider Active NPI

Daniel Joseph Colache, D.C.

  • Rehabilitation Chiropractor
  • Mays Landing, NJ
National Provider Identifier
1821173220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
MC005486 Issued in NJ
Practice address
3934 Black Horse Pike
Festival at Hamilton Center
Mays Landing, NJ 08330-3107
Phone
(609) 625-6399
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X MC005486 NJ Primary

Addresses

Primary practice location

3934 Black Horse Pike
Festival at Hamilton Center
Mays Landing, NJ 08330-3107

Mailing address

3934 Black Horse Pike
Festival at Hamilton Center
Mays Landing, NJ 08330-3107
Phone (609) 625-6399

Other identifiers 11

IdentifierTypeStateIssuer
9804579OtherNJCIGNA
2248204OtherNJUNITED HEALTHCARE
7274195OtherNJAETNA
21203354713 01OtherNJBEECHSTREET CORP.
NJ05486OtherNJASHN
P2753899OtherNJOXFORD
2010932000OtherNJAMERIHEALTH
953158OtherNJFOCUS
1881760OtherNJFIRST HEALTH
9149091OtherNJPHCS
969480OtherNJONE HEALTH PLAN / GREAT W

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000622 NJ Practitioner - Chiropractic 0840347852 Practice locations: Mays Landing, NJ; Egg Harbor City, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 N Philadelphia Ave
Egg Harbor City, NJ 08215-1315
Phone (609) 804-9800

3934 Black Horse Pike
Mays Landing, NJ 08330-3107
Phone (609) 625-6399

4450 Black Horse Pike
3950 Festival at Hamilton Center
Mays Landing, NJ 08330-3107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC005486NJMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821173220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 BLACK HORSE PIKE",
            "address_2": "FESTIVAL AT HAMILTON CENTER",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303107",
            "telephone_number": "609-625-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 BLACK HORSE PIKE",
            "address_2": "FESTIVAL AT HAMILTON CENTER",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303107",
            "telephone_number": "609-625-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLACHE",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "MC005486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9804579",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2248204",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7274195",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET CORP.",
            "identifier": "21203354713 01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "NJ05486",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2753899",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2010932000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOCUS",
            "identifier": "953158",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1881760",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9149091",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN / GREAT W",
            "identifier": "969480",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.