CHIROMED-21PC – NPI #1659311330
Chiropractor

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

CHIROMED-21PC is a chiropractor located in WOODBURY HEIGHTS, NJ. NPPES has assigned the NPI number 1659311330 to CHIROMED-21PC on June 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 111NS0005X from the Health Care Provider Taxonomy code set, which is classified as Chiropractor, specializing in Sports Physician

The NPI profile was previously updated about 11 years ago on Oct 13, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHIROMED-21PC below.

NPI Profile for
CHIROMED-21PC

NPI Number
1659311330
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHIROMED-21PC
Primary location
880 MONTUA PIKE
UNIT C
WOODBURY HEIGHTS, NJ 08097
Phone: (856) 718-9922 Fax: (856) 848-8208
Mailing address
P.O. BOX 5581
DEPTFORD, NJ 08096
Phone: (856) 718-9922 Fax: (856) 848-8208
Organization Subpart
No
Authorized Official
FRANK GASPAROVIC
OWNER
Phone: (856) 718-9922
Updated
Identifiers

Identifiers for CHIROMED-21PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ7077904
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
111NS0005X
- Chiropractor / Sports Physician (Primary)
NJ 38MC00444700

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.