Zacahry Decarlo Jr., D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011910 Issued in PA

Practice address

101 E 8TH Ave Ste 301
Conshohocken, PA 19428-1783

Phone

(610) 567-8011

NPI assigned

Mar 20, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Way Conshohocken PLLC

  • Chiropractor
  • Conshohocken, PA
  • NPI 1487478012
  NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1053171835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 8TH AVE STE 301",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281783",
            "telephone_number": "610-567-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 8TH AVE STE 301",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281783",
            "telephone_number": "610-567-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "ZACAHRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Daniels, RD, LDN
• Danielle Dantonio
• Pamela Dao
• Jory Davis
• Davita Medical Group Philadelphia, LLC (Tandigm Care Services (BH))
• Nicholas Joseph Delaney, DO
• Nicole Delgado
• Kendall Denarie, PT
• Erin A. Devault, M.S., CCC-SLP
• Luk Devorski, PHD, ATC

• Chiropractor in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.