Healthcare Provider Details

I. General information

NPI: 1750493318
Provider Name (Legal Business Name): CHIROPRACTIC AND REHAB CENTER OF SOUTH JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1937 HADDONFIELD BERLIN RD
CHERRY HILL NJ
08003-3737
US

IV. Provider business mailing address

1937 BERLIN RD
CHERRY HILL NJ
08003-3737
US

V. Phone/Fax

Practice location:
  • Phone: 856-616-0614
  • Fax: 856-616-0607
Mailing address:
  • Phone: 856-616-0610
  • Fax: 856-616-0607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC005068
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00032700
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00696200
License Number StateNJ

VIII. Authorized Official

Name: DR. STEVE APITCHED ALBERTI
Title or Position: OWNER/MEMBER
Credential: D.C.
Phone: 856-616-0610