Organization Active NPI

Aquilino Chiropractic, Inc.

  • Sports Physician Chiropractor
  • Voorhees, NJ
National Provider Identifier
1992908305
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
AQUILINO CHIROPRACTIC, INC.
Practice address
1000 White Horse Rd
Suite 702
Voorhees, NJ 08043-4413
Phone
(856) 784-0676
Fax
(856) 784-0678
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Adam Michael Aquilino, D.C.NPI 1427020817
Title
Owner
Phone
(856) 784-0676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

1000 White Horse Rd
Suite 702
Voorhees, NJ 08043-4413

Mailing address

1000 White Horse Rd
Suite 702
Voorhees, NJ 08043-4406
Phone (856) 784-0676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000363 NJ Part B Supplier - Clinic/Group Practice 6709030406 Receives reassigned benefits from 1 practitioner
Practice locations: Blackwood, NJ

National Provider Directory

National Provider Directory

Locations

237 S Black Horse Pike
Blackwood, NJ 08012
Phone (856) 784-0676

1000 White Horse Rd
Ste 702
Voorhees, NJ 08043
Phone (856) 772-0011

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1992908305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD",
            "address_2": "SUITE 702",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434406",
            "telephone_number": "856-784-0676",
            "fax_number": "856-784-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD",
            "address_2": "SUITE 702",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434413",
            "telephone_number": "856-784-0676",
            "fax_number": "856-784-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILINO CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "AQUILINO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-784-0676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.