NPIMap

Organization Active NPI

Panaia Chiropractic & Rehabilitation of Cherry Hill LLC

  • Chiropractor
  • Cherry Hill, NJ
National Provider Identifier
1851576698
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00430300 Issued in NJ
Legal business name
PANAIA CHIROPRACTIC & REHABILITATION OF CHERRY HILL LLC
Practice address
1299 Brace Rd
Cherry Hill, NJ 08034-3214
Phone
(856) 795-2424
Fax
(856) 795-2212
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Ellery Panaia III, D.C.NPI 1629108972
Title
Partner
Phone
(856) 795-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC00430300 NJ Primary

Addresses

Primary practice location

1299 Brace Rd
Cherry Hill, NJ 08034-3214

Mailing address

1299 Brace Rd
Cherry Hill, NJ 08034-3214
Phone (856) 795-2424

Other identifiers 2

IdentifierTypeStateIssuer
0461651OtherAETNA
2707432000OtherAMERIHEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000014 NJ Part B Supplier - Clinic/Group Practice 5395893895 Receives reassigned benefits from 2 practitioners
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1851576698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343214",
            "telephone_number": "856-795-2424",
            "fax_number": "856-795-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343214",
            "telephone_number": "856-795-2424",
            "fax_number": "856-795-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAIA CHIROPRACTIC & REHABILITATION OF CHERRY HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "PANAIA",
        "authorized_official_first_name": "ELLERY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-795-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00430300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0461651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2707432000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.