Organization Active NPI

Corrective Care Chiropractic LLC

  • Chiropractor
  • Hamilton, NJ
National Provider Identifier
1881090876
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00685600 Issued in NJ
Legal business name
CORRECTIVE CARE CHIROPRACTIC LLC
Practice address
801 Hughes Dr
Hamilton, NJ 08690-1207
Phone
(609) 584-1313
Fax
(609) 584-1972
NPI assigned
Nov 18, 2014
Last updated
Nov 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Dr. Chris Peterson, D.C.NPI 1912149766
Title
Ceo/Chiropractor
Phone
(732) 492-1354

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
Chiropractor 111N00000X 38MC00685600 NJ Primary

Addresses

Primary practice location

801 Hughes Dr
Hamilton, NJ 08690-1207

Mailing address

801 Hughes Dr
Hamilton, NJ 08690-1207
Phone (609) 584-1313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151022000973 NJ Part B Supplier - Clinic/Group Practice 0840509469 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1881090876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HUGHES DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901207",
            "telephone_number": "609-584-1313",
            "fax_number": "609-584-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HUGHES DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901207",
            "telephone_number": "609-584-1313",
            "fax_number": "609-584-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CARE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO/CHIROPRACTOR",
        "authorized_official_telephone_number": "732-492-1354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00685600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.