Joseph a. Midili D.C., Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

38MC00234600 Issued in NJ

Legal business name

JOSEPH A. MIDILI D.C., INC.

Practice address

133 Ganttown Rd
Turnersville, NJ 08012-1676

Phone

(856) 228-6366

Fax

(856) 228-0803

NPI assigned

Dec 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Austin Midili, D.C.NPI 1114972445

Title

Director/Chiropractor

Phone

(856) 228-6366

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Austin Midili, D.C.

  • Chiropractor
  • Turnersville, NJ
  • NPI 1114972445
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1922463702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 GANTTOWN RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121676",
            "telephone_number": "856-228-6366",
            "fax_number": "856-228-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 GANTTOWN RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121676",
            "telephone_number": "856-228-6366",
            "fax_number": "856-228-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. MIDILI D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "MIDILI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "DIRECTOR/CHIROPRACTOR",
        "authorized_official_telephone_number": "856-228-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "38MC00234600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00613203",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4410581",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8210968",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1752405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sasha N Johnson, APN
• Andrew Thomas Johnstone, BC APN
• Jamilah Jones, LPC
• Jeffrey Jones
• Lucy Min Joo, DO
• Robert Kania
• Brianna Kelly
• Emmalyn Kelly
• Kelsch Associates Inc. New Jersey
• Kennedy Medical Group D/B/a Kennedy Health Alliance

• Clinic/Center in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.