Organization Active NPI

Camilli Chiropractic

  • Sports Physician Chiropractor
  • Philadelphia, PA
National Provider Identifier
1083721666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
003519-L Issued in PA
Legal business name
CAMILLI CHIROPRACTIC
Practice address
2326 S 12TH St
Philadelphia, PA 19148-3540
Phone
(215) 755-4836
Fax
(856) 251-9691
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Camilli, DCNPI 1871521641
Title
Chiropractor
Phone
(215) 755-4836

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 003519-L PA Primary

Addresses

Primary practice location

2326 S 12TH St
Philadelphia, PA 19148-3540

Mailing address

2326 S 12TH St
Philadelphia, PA 19148-3540
Phone (215) 755-4836

Other identifiers 1

IdentifierTypeStateIssuer
1459971MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083721666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 S 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483540",
            "telephone_number": "215-755-4836",
            "fax_number": "856-251-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 S 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483540",
            "telephone_number": "215-755-4836",
            "fax_number": "856-251-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLI CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMILLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-755-4836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "003519-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459971",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.