Realm Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010285 Issued in NY

Legal business name

REALM CHIROPRACTIC, PC

Practice address

2709 Genesee St
Utica, NY 13501-6222

Phone

(315) 797-1908

Fax

(315) 797-1193

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Joseph Delmedico, DC

Title

Owner

Phone

(315) 797-1908

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Peter Jalowiec, D.C.

  • Chiropractor
  • Herkimer, NY
  • NPI 1518064161
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1134591969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016222",
            "telephone_number": "315-797-1908",
            "fax_number": "315-797-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016222",
            "telephone_number": "315-797-1908",
            "fax_number": "315-797-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALM CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "DELMEDICO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-797-1908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolann E Rauscher, M.S. CCC-SLP
• Stephanie Jane Rauscher, PTA
• Firooz Ravangard, MD
• Anand P Ravi, MD
• Shozab Raza, MD
• Marla Reames
• Joseph Stanley Rebisz, R PH
• Shawna Rene Cecelia Recore
• Anil Kumar Surasani Reddy, MD
• Margot Redmond, LMSW

• All providers in Utica, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.