Individual provider Active NPI

Shruti Sinha, D.C.

  • Chiropractor
  • Sicklerville, NJ
National Provider Identifier
1821274531
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC03784 Issued in NJ
Practice address
504 Sicklerville Rd
Sicklerville, NJ 08081-2626
Phone
(856) 875-1515
Fax
(856) 728-5444
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC03784 NJ Primary

Addresses

Primary practice location

504 Sicklerville Rd
Sicklerville, NJ 08081-2626

Mailing address

504 Sicklerville Rd
Sicklerville, NJ 08081-2626
Phone (856) 875-1515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206000119 NJ Practitioner - Chiropractic 7214271949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sicklerville ChiropracticGroup PAC ID 3577739036, 3 clinicians

Practice addresses (Care Compare)

504 Sicklerville Rd
Sicklerville, NJ 08081-2626
Phone (856) 875-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC03784NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sicklerville Chiropractic CurrentSince Sep 12, 2018 Accepting new patients

Locations

504 Sicklerville Rd
Sicklerville, NJ 08081
Phone (856) 875-1515

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1821274531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SICKLERVILLE RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812626",
            "telephone_number": "856-875-1515",
            "fax_number": "856-728-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SICKLERVILLE RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812626",
            "telephone_number": "856-875-1515",
            "fax_number": "856-728-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINHA",
        "first_name": "SHRUTI",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC03784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.