Individual provider Active NPI

Joseph Michael Iannelli, D.C.

  • Chiropractor
  • Turnersville, NJ
National Provider Identifier
1922183581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00426200 Issued in NJ
Practice address
1301 Route 168
Turnersville, NJ 08012-3216
Phone
(856) 227-3480
Fax
(856) 228-4616
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 38MC00426200 NJ Primary

Addresses

Primary practice location

1301 Route 168
Turnersville, NJ 08012-3216

Mailing address

1301 Route 168
Turnersville, NJ 08012-3216
Phone (856) 227-3480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000689 NJ Practitioner - Chiropractic 7214031178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iannelli Chiropractic Centers, P.C.Group PAC ID 1052411758, 2 clinicians

Practice addresses (Care Compare)

1301 Route 168
Turnersville, NJ 08012-3216
Phone (856) 227-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00426200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Iannelli Chiropractic Centers, P.C. Chiropractor CurrentSince Jul 5, 2006 Accepting new patients

Locations

1301 Route 168
Turnersville, NJ 08012
Phone (856) 227-3480

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922183581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 168",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123216",
            "telephone_number": "856-227-3480",
            "fax_number": "856-228-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 168",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123216",
            "telephone_number": "856-227-3480",
            "fax_number": "856-228-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNELLI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00426200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, 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.