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SUPER CHIROPRACTIC LIFE CENTER LLP
NPI 1750973673
Chiropractor in Haddon Township, NJ

Active since February 11, 2021
2 LEES LN, HADDON TOWNSHIP, NJ 08107(856) 858-5511(856) 858-2317 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

About Super Chiropractic Life Center Llp NPPES

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

SUPER CHIROPRACTIC LIFE CENTER LLP (NPI 1750973673) is a healthcare organization registered as a chiropractor in Haddon Township, New Jersey and active in the NPI registry since February 2021. The organization lists Gwendolyn Super, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750973673
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSUPER CHIROPRACTIC LIFE CENTER LLP
Location Address2 LEES LNHaddon Township, NJ 08107-1091
Mailing Address2 Lees LnHaddon Township, NJ 08107-1091 · (856) 858-5511 · Fax (856) 858-2317
Phone(856) 858-5511
Fax(856) 858-2317
Organization SubpartNo
Authorized OfficialGwendolyn SuperOffice Manager · (856) 858-5511
Enumeration DateFebruary 11, 2021
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1750973673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Super Chiropractic Life Center Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Super Chiropractic Life Center LLP, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Casandra Super, DC
Chiropractic
NPI 1639761562
2 LEES LN
Haddon Township, NJ 08107
(856) 858-5511
✔ Accepts MedicareSame address
Robert Super, DC
Chiropractic
NPI 1720080708
2 LEES LN
Haddon Township, NJ 08107
(856) 858-5511
✔ Accepts MedicareSame address

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

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 Super Chiropractic Life Center LLP's NPI number?

The NPI number for Super Chiropractic Life Center LLP is 1750973673. It was assigned to this organization in the NPPES registry on February 11, 2021.

Where is Super Chiropractic Life Center LLP located?

Super Chiropractic Life Center LLP is located at 2 Lees Ln, Haddon Township, NJ 08107. The listed phone number is (856) 858-5511.

What is Super Chiropractic Life Center LLP's specialty?

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

Is Super Chiropractic Life Center LLP enrolled in Medicare?

Yes. Super Chiropractic Life Center LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Super Chiropractic Life Center LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Super Chiropractic Life Center LLP. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Super Chiropractic Life Center LLP 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.