Advanced Chiropractic Center, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00341200 Issued in NJ

Legal business name

ADVANCED CHIROPRACTIC CENTER, PA

Practice address

2123 Browning Rd
Pennsauken, NJ 08110-1910

Phone

(856) 662-4455

Fax

(856) 662-5600

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Denise Grazioli

Title

Ass'T Office Manager

Phone

(856) 662-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Neil K Liebman, DC,C.C.S.T.

  • Chiropractor
  • Pennsauken, NJ
  • NPI 1609843796
  Medicare reassignment NPD
• Shari L Saluck, D.C.

  • Chiropractor
  • Westmont, NJ
  • NPI 1760429351
  Medicare reassignment NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1982893558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 BROWNING RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101910",
            "telephone_number": "856-662-4455",
            "fax_number": "856-662-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 BROWNING RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101910",
            "telephone_number": "856-662-4455",
            "fax_number": "856-662-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "GRAZIOLI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ASS'T OFFICE MANAGER",
        "authorized_official_telephone_number": "856-662-4455",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00341200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6097103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 5101 North Park Drive Operations LLC
• A Friendly Hand Companion Care
• Achieving Nirvana LLC
• Advocare , LLC
• Advocare, LLC
• Aging With Comfort NJ Inc
• Pankaj Haribhai Agrawal, M.D.
• Rashid Ahmad, M.D.

• Chiropractor in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.