Individual provider Active NPI

Samantha L Martin-Szabo, D.C.

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1861575771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC05099 Issued in NJ
Practice address
2000 Academy Dr
Suite 100
Mount Laurel, NJ 08054-2831
Phone
(856) 727-3536
Fax
(856) 727-4703
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

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
Chiropractor 111N00000X MC05099 NJ Primary

Addresses

Primary practice location

2000 Academy Dr
Suite 100
Mount Laurel, NJ 08054-2831

Mailing address

2000 Academy Dr
Suite 100
Mount Laurel, NJ 08054-2831
Phone (856) 727-3536

Other identifiers 1

IdentifierTypeStateIssuer
8283001MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130114000274 NJ Practitioner - Chiropractic 6103079637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Academy Dr
Suite 100
Mount Laurel, NJ 08054-2831
Phone (856) 727-3536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC05099NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evesham Township Chiropractic LLC Chiropractor CurrentSince Sep 8, 2012 Accepting new patients

Locations

2000 Academy Dr
Ste 100
Mount Laurel, NJ 08054
Phone (609) 727-3536

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861575771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ACADEMY DR",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542831",
            "telephone_number": "856-727-3536",
            "fax_number": "856-727-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ACADEMY DR",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542831",
            "telephone_number": "856-727-3536",
            "fax_number": "856-727-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-SZABO",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8283001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, 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.