Organization Active NPI

Dr Gary Scardino, LLC

  • Chiropractor
  • Newtown, PA
National Provider Identifier
1063181634
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR GARY SCARDINO, LLC
Practice address
319 S State St
Newtown, PA 18940-1929
Phone
(215) 860-7275
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Gary T Scardino, DCNPI 1891830816
Title
Chriopractor
Phone
(215) 860-7275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

319 S State St
Newtown, PA 18940-1929

Mailing address

319 S State St
Newtown, PA 18940-1929
Phone (215) 860-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025000239 PA Part B Supplier - Clinic/Group Practice 3678961646 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown, PA

National Provider Directory

National Provider Directory

Locations

319 S State St
Newtown, PA 18940
Phone (215) 860-7275

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1063181634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S STATE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401929",
            "telephone_number": "215-860-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S STATE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401929",
            "telephone_number": "215-860-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GARY SCARDINO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SCARDINO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHRIOPRACTOR",
        "authorized_official_telephone_number": "215-860-7275",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.