Provider Demographics
NPI:1750493318
Name:CHIROPRACTIC AND REHAB CENTER OF SOUTH JERSEY
Entity Type:Organization
Organization Name:CHIROPRACTIC AND REHAB CENTER OF SOUTH JERSEY
Other - Org Name:CARECENTER OF SJ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:APITCHED
Authorized Official - Last Name:ALBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-616-0610
Mailing Address - Street 1:1937 BERLIN RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3737
Mailing Address - Country:US
Mailing Address - Phone:856-616-0610
Mailing Address - Fax:856-616-0607
Practice Address - Street 1:1937 HADDONFIELD BERLIN RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3737
Practice Address - Country:US
Practice Address - Phone:856-616-0614
Practice Address - Fax:856-616-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC005068111N00000X
NJ133V00000X
NJ25MZ00032700171100000X
NJ40QA00696200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ071540Medicare PIN