PATCH CHIROPRACTIC PA (NPI# 1417328295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417328295 |
| Entity Type | Organization |
| Organization Name | PATCH CHIROPRACTIC PA |
| Practice Address |
701 E Gate Dr Suite 304 Mount Laurel NJ 08054-3838 |
| Mailing Address |
605 Glen Ave Moorestown NJ 08057-1125 |
| Practice Telephone | 8566774000 |
| Practice Fax Number | 8562343014 |
| Mailing Telephone | 8563355060 |
| Mailing Fax Number | 8567939392 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | MARY DUFFIN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8566774000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00726900 | NJ | Chiropractic Providers |
| Street Address |
701 E GATE DR SUITE 304 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574437 | Jason Melnyk | Occupational Therapist | 701 E Gate Dr, Suite 304, Mount Laurel, NJ 08054-3838 | 2017-01-11 |
| 1336684331 | Ernesto Mendez | Physical Therapist | 701 E Gate Dr, Suite 304, Mount Laurel, NJ 08054-3838 | 2016-12-29 |
| 1619410396 | Mark Daitol | Physical Therapist | 701 E Gate Dr, Suite 304, Mount Laurel, NJ 08054-3838 | 2016-11-29 |
| 1568913309 | Julia Swierzowski | Physical Therapist | 701 E Gate Dr, Suite 304, Mount Laurel, NJ 08054-3838 | 2016-10-17 |
| 1417407495 | Carli Menzel | Physical Therapist | 701 E Gate Dr, Suite 304, Mount Laurel, NJ 08054-3838 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205291689 | Lee Chiropractic, P.C. | Chiropractor | 3829 Church Rd Ste B, Mount Laurel, NJ 08054-1105 | 2015-12-29 |
| 1114151602 | Burlington County Spine & Rehabilitation LLC | Chiropractor | 103 Masonville Rd, Mount Laurel, NJ 08054-1612 | 2009-05-12 |
| 1821211384 | John E. Sandoz Dc Pa | Chiropractor | 2057 Briggs Rd, Suite 204, Mount Laurel, NJ 08054-4639 | 2007-04-11 |
| 1659496834 | John E Sandoz | Chiropractor | 2057 Briggs Road, Suite 204, Mount Laurel, NJ 08054 | 2007-03-20 |
| 1275697013 | Stephen Joseph Safka | Chiropractor | 801 S Church St, Suite 2, Mount Laurel, NJ 08054-2572 | 2006-12-19 |
| 1356430748 | Ronald D Peak Dc Pa | Chiropractor | 4516 Church Rd, Mount Laurel, NJ 08054-2210 | 2006-10-12 |
| 1851325872 | Gary Thomas Noseworthy | Chiropractor | 1006 Birchfield Dr, Mount Laurel, NJ 08054-4006 | 2006-07-10 |
| 1801837851 | Todd Howard Bogos | Chiropractor | 3 Hovtech Blvd, Mount Laurel, NJ 08054-6306 | 2006-06-09 |
| 1700871290 | Joseph P Denney | Chiropractor | 199 6th Ave, Mount Laurel, NJ 08054-9749 | 2005-09-12 |
| 1083008148 | Diann Wallace | Chiropractor | 103 Masonville Rd, Mount Laurel, NJ 08054 | 2015-03-26 |
| Find all providers in MOUNT LAUREL | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
Please comment or provide details below to improve the information on PATCH CHIROPRACTIC PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.