Organization Active NPI

New Leaf Chiropractic LLC

  • Chiropractor
  • Phoenixville, PA
National Provider Identifier
1124598560
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEW LEAF CHIROPRACTIC LLC
Practice address
1501 Pawlings Rd
Phoenixville, PA 19460-1437
Phone
(610) 650-4500
Fax
(610) 450-4501
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Matthew BerardiNPI 1568768851
Title
Owner
Phone
(610) 247-7621

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1501 Pawlings Rd
Phoenixville, PA 19460-1437

Mailing address

1501 Pawlings Rd
Phoenixville, PA 19460-1437
Phone (610) 650-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190717002961 PA Part B Supplier - Clinic/Group Practice 4789919457 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenixville, PA

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": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1124598560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PAWLINGS RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601437",
            "telephone_number": "610-650-4500",
            "fax_number": "610-450-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PAWLINGS RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601437",
            "telephone_number": "610-650-4500",
            "fax_number": "610-450-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-247-7621"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.