Colonial Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

FL0000438 Issued in DE

Legal business name

COLONIAL CHIROPRACTIC, LLC

Practice address

105 Penn Mart Shopping Ctr
New Castle, DE 19720-4208

Phone

(302) 328-1444

Fax

(302) 328-1952

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory T Yacucci, D.C.NPI 1467408575

Title

Owner

Phone

(302) 328-1444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colonial Wellness & Rehabilitation Center Other name

Locations

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.

• Gregory T. Yacucci, D.C.

  • Chiropractor
  • New Castle, DE
  • NPI 1467408575
  NPD (past) Authorized official

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1134517683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PENN MART SHOPPING CTR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204208",
            "telephone_number": "302-328-1444",
            "fax_number": "302-328-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PENN MART SHOPPING CTR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204208",
            "telephone_number": "302-328-1444",
            "fax_number": "302-328-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "YACUCCI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-328-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "FL0000438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "490056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Wellness & Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Magdalena Marie Cohen, LMT
• Rebekah Coleman
• Collaborative Effort to Reinforce Transition Success, Inc (C.E.R.T.S.)
• Audrey J Collins, GNP
• Astrid Carolina Colon Torres, MSW
• Alexis Coluccio
• Community Medical Transportation Network LLC
• Conexio Care, Inc.
• Connections CSP, Inc. (Gordy Place Group Home)
• Converge Integrated Healthcare Network LLC (New Castle Integrative Healthcare Professionals)

• Chiropractor in New Castle, DE
• Providers in New Castle, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.