Individual provider Active NPI

Nicholas Stephen Marini, B.S., D.C.

  • Chiropractor
  • King of Prussia, PA
National Provider Identifier
1114230380
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010301 Issued in PA
Practice address
144 E Dekalb Pike
Suite 202
King of Prussia, PA 19406-2150
Phone
(610) 337-3555
Fax
(610) 337-8235
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010301 PA Primary
Rehabilitation Chiropractor 111NR0400X AJ010100 PA

Addresses

Primary practice location

144 E Dekalb Pike
Suite 202
King of Prussia, PA 19406-2150

Mailing address

144 E Dekalb Pike
Suite 202
King of Prussia, PA 19406-2150
Phone (610) 337-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720001691 DE Practitioner - Chiropractic 7012246606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenthal Chiropractic, P.a.Group PAC ID 2163594276, 2 clinicians

Practice addresses (Care Compare)

507 S Maryland Ave
Wilmington, DE 19804-1665
Phone (602) 999-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
AJ010100PAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenthal Chiropractic, P.a. Chiropractor CurrentSince Jun 13, 2022 Accepting new patients
L Squared Health Care LLC Chiropractor CurrentSince Apr 8, 2021 Accepting new patients
Mayfair Family Chiropractic Center Inc. Chiropractor CurrentSince Sep 19, 2019 Accepting new patients

Locations

2600 Glasgow Ave
Ste 200
Newark, DE 19702
Phone (302) 289-5425

507 S Maryland Ave
Wilmington, DE 19804
Phone (302) 999-0633

3301 Ryan Ave
Philadelphia, PA 19136
Phone (215) 332-8686

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1114230380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E DEKALB PIKE",
            "address_2": "SUITE 202",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062150",
            "telephone_number": "610-337-3555",
            "fax_number": "610-337-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 E DEKALB PIKE",
            "address_2": "SUITE 202",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062150",
            "telephone_number": "610-337-3555",
            "fax_number": "610-337-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINI",
        "first_name": "NICHOLAS",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010301",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "AJ010100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.