Dibartolo Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00311300 Issued in NJ

Legal business name

DIBARTOLO CHIROPRACTIC, LLC

Practice address

4036 Ocean Heights Ave
Egg Harbor Township, NJ 08234-7505

Phone

(609) 926-1100

Fax

(609) 926-0054

NPI assigned

Dec 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip Anthony Dibartolo, DCNPI 1477654622

Title

Owner Chiropractor

Phone

(609) 926-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Anthony Dibartolo, D.C.

  • Chiropractor
  • Egg Harbor TWP, NJ
  • NPI 1477654622
  Medicare reassignment NPD Authorized official
• Linda Mandata Dibartolo, D.C.

  • Chiropractor
  • Egg Harbor TWP, NJ
  • NPI 1528169786
  NPD (past)
• Danielle Christina Dearey, D.C.

  • Chiropractor
  • Camas, WA
  • NPI 1063552065
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1043373640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 OCEAN HEIGHTS AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347505",
            "telephone_number": "609-926-1100",
            "fax_number": "609-926-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 OCEAN HEIGHTS AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347505",
            "telephone_number": "609-926-1100",
            "fax_number": "609-926-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIBARTOLO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "DIBARTOLO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "609-926-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00311300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nipur Desai, DC
• Rashmikant Sumantlal Desai, MD
• Natalie Desimone, LCSW
• Samantha Frances Devito
• Aissatou Dalanda Diallo
• Suzanne Dibenedetto, LDO
• Cierra Yvette Dickinson
• Dawn Digioia, LPC
• Charlotte A. Dimarco Morrison, LCSW
• Richard A. Dimeo, M.D.

• Chiropractor in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.