Individual provider Active NPI

David Paul Corrado, DC

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1841377421
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00460300 Issued in NJ
Practice address
151 Greentree Rd Ste C
Marlton, NJ 08053-9416
Phone
(856) 596-0086
Fax
(856) 596-0085
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005767L PA
Chiropractor 111N00000X 38MC00460300 NJ Primary

Addresses

Primary practice location

151 Greentree Rd Ste C
Marlton, NJ 08053-9416

Mailing address

151 Greentree Rd Ste C
Marlton, NJ 08053-9416
Phone (856) 596-0086

Other identifiers 1

IdentifierTypeStateIssuer
6670709MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000380 NJ Practitioner - Chiropractic 3971698879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Greentree Rd
Suite C
Marlton, NJ 08053-9416
Phone (856) 596-0086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00460300NJMDChiropractor
DC005767LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Corrado Chiropractic and Rehabilitation Center, LLC Chiropractor CurrentSince Sep 14, 1994 Accepting new patients
O'Keefe Chiropractic Center,P.a. Chiropractor Past Accepting new patients

Locations

151 Greentree Rd
Ste C
Marlton, NJ 08053
Phone (856) 596-0086

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1841377421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GREENTREE RD STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539416",
            "telephone_number": "856-596-0086",
            "fax_number": "856-596-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 GREENTREE RD STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539416",
            "telephone_number": "856-596-0086",
            "fax_number": "856-596-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADO",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005767L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00460300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6670709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.