Active NPI
Daniel Joseph Colache, D.C.
- Rehabilitation Chiropractor
- Mays Landing, NJ
National Provider Identifier
1821173220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MC005486
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9804579 | Other | NJ | CIGNA |
| 2248204 | Other | NJ | UNITED HEALTHCARE |
| 7274195 | Other | NJ | AETNA |
| 21203354713 01 | Other | NJ | BEECHSTREET CORP. |
| NJ05486 | Other | NJ | ASHN |
| P2753899 | Other | NJ | OXFORD |
| 2010932000 | Other | NJ | AMERIHEALTH |
| 953158 | Other | NJ | FOCUS |
| 1881760 | Other | NJ | FIRST HEALTH |
| 9149091 | Other | NJ | PHCS |
| 969480 | Other | NJ | ONE HEALTH PLAN / GREAT W |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MC005486 | NJ | MD | Rehabilitation 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.