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DR. CASANDRA LEIGH SUPER DC
NPI 1639761562
Chiropractor in Haddon Township, NJ

Active since February 11, 2021Accepts Medicare Assignment
2 LEES LN, HADDON TOWNSHIP, NJ 08107(856) 858-5511(856) 858-5511 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 18, 2021, Feb 11, 2021 (2 updates tracked since 2021).

About Dr. Casandra Leigh Super Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CASANDRA LEIGH SUPER DC (NPI 1639761562) is an individual chiropractor in Haddon Township, New Jersey, licensed in New Jersey (38MC00780900) and active in the NPI registry since February 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1639761562
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. CASANDRA LEIGH SUPERCredential: DC
Location Address2 LEES LNHaddon Township, NJ 08107-1091
Mailing Address2 Lees LnHaddon Township, NJ 08107-1091 · (856) 858-5511 · Fax (856) 858-5511
Phone(856) 858-5511
Fax(856) 858-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 11, 2021
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1639761562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00780900
Definition
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.
2 LEES LN, Haddon Township, NJ 08107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Casandra Leigh Super Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486061868
PECOS Enrollment IDI20210408001196

Medicare Billing Reassignment

Medicare enrollment records show Casandra Super reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Super Chiropractic Life Center LLP
Same address
Chiropractor
2 LEES LN
Haddon Township, NJ 08107
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1750973673 (856) 858-5511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
266 services32 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT ANDREW SUPER DC
Chiropractor
2 LEES LN
HADDON TOWNSHIP, NJ 08107
Camden County (856) 858-5511
SUPER CHIROPRACTIC LIFE CENTER LLP
Chiropractor
2 LEES LN
HADDON TOWNSHIP, NJ 08107
Camden County (856) 858-5511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casandra Super's NPI number?

The NPI number for Casandra Super is 1639761562. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Casandra Super located?

Casandra Super practices at 2 Lees Ln, Haddon Township, NJ 08107. The listed phone number is (856) 858-5511.

What is Casandra Super's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Casandra Super enrolled in Medicare?

Yes. Casandra Super is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Casandra Super's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casandra Super reassigns Medicare benefits to Super Chiropractic Life Center LLP (Haddon Township, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casandra Super's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Casandra Super was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.