Individual provider Active NPI

Joseph Michael Iannelli III, DC

  • Chiropractor
  • Blackwood, NJ
National Provider Identifier
1952113698
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00810700 Issued in NJ
Practice address
1301 Route 168
Blackwood, NJ 08012-3216
Phone
(856) 227-3480
NPI assigned
Jan 21, 2025
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00810700 NJ Primary

Addresses

Primary practice location

1301 Route 168
Blackwood, NJ 08012-3216

Mailing address

5606 Ventnor Ave
Ventnor City, NJ 08406-2342
Phone (609) 350-4750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527001828 NJ Practitioner - Chiropractic 2365961075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
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
38MC00810700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Iannelli Chiropractic Centers, P.C. Chiropractor CurrentSince May 22, 2025 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": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1952113698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 VENTNOR AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062342",
            "telephone_number": "609-350-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 168",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123216",
            "telephone_number": "856-227-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNELLI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00810700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.