Individual provider Active NPI

Sylvia A Bidwell, DC

  • Chiropractor
  • Moorestown, NJ
National Provider Identifier
1952428252
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04747 Issued in NJ
Practice address
212 W Route 38
Suite 100
Moorestown, NJ 08057-3238
Phone
(856) 273-1551
Fax
(856) 273-9988
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC04747 NJ Primary

Addresses

Primary practice location

212 W Route 38
Suite 100
Moorestown, NJ 08057-3238

Mailing address

212 W Route 38
Suite 100
Moorestown, NJ 08057-3238
Phone (856) 273-1551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000178 NJ Practitioner - Chiropractic 1153401252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 W Route 38
Suite 100
Moorestown, NJ 08057-3238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC04747NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bidwell Chiropractic Center PC Chiropractor CurrentSince Sep 1, 1997 Accepting new patients

Locations

212 W Route 38
Ste 100
Moorestown, NJ 08057
Phone (856) 273-1551

703 E Main St
Moorestown, NJ 08057
Phone (609) 727-0900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1952428252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38",
            "address_2": "SUITE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573238",
            "telephone_number": "856-273-1551",
            "fax_number": "856-273-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38",
            "address_2": "SUITE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573238",
            "telephone_number": "856-273-1551",
            "fax_number": "856-273-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "SYLVIA",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.