Individual provider Active NPI

Michael K Lanzilotta, D.C.

  • Chiropractor
  • Medford, NJ
National Provider Identifier
1932148533
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00557400 Issued in NJ
Practice address
133 Jackson Rd
Medford, NJ 08055-9234
Phone
(609) 654-1330
Fax
(609) 714-1612
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 38MC00557400 NJ Primary

Addresses

Primary practice location

133 Jackson Rd
Medford, NJ 08055-9234

Mailing address

133 Jackson Rd
Medford, NJ 08055-9234
Phone (609) 654-1330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000569 NJ Practitioner - Chiropractic 0547226011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Health Goals Chiropractic Center, Inc.Group PAC ID 0749377091, 6 clinicians

Practice addresses (Care Compare)

113 Jackson Rd B
Medford, NJ 08055-9232

133 Jackson Rd
Medford, NJ 08055-9234
Phone (609) 654-1330

230 N Maple Ave
Suite G2
Marlton, NJ 08053-9415
Phone (856) 983-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00557400NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Goals Chiropractic Center, Inc. Chiropractor CurrentSince Nov 15, 2025 Accepting new patients

Locations

230 N Maple Ave
Ste G2
Marlton, NJ 08053
Phone (856) 983-5422

Organizations & group practices 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1932148533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 JACKSON RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559234",
            "telephone_number": "609-654-1330",
            "fax_number": "609-714-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 JACKSON RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559234",
            "telephone_number": "609-654-1330",
            "fax_number": "609-714-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZILOTTA",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00557400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.