Individual provider Active NPI

Marc Michael Moramarco, D.C.

  • Chiropractor
  • Woburn, MA
National Provider Identifier
1154330272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1139 Issued in MA
Practice address
3 Baldwin Green CMN
Suite 204
Woburn, MA 01801-1865
Phone
(781) 938-8558
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1139 MA Primary

Addresses

Primary practice location

3 Baldwin Green CMN
Suite 204
Woburn, MA 01801-1865

Mailing address

20 Carter LN
Andover, MA 01810-6071
Phone (978) 470-0680

Other identifiers 4

IdentifierTypeStateIssuer
TUFTSOtherMA729503
352364OtherMAHARVARD PILGRIM
Y35835OtherMABLUE CROSS BLUE SHIELD
4404513OtherMAUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000541 MA Practitioner - Chiropractic 6204732761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Chiropractic Institute of New York, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Baldwin Green CMN
Suite 204
Woburn, MA 01801-1868
Phone (781) 938-8558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moramarco Chiropractic Office, P.C. Chiropractor CurrentSince Oct 7, 2003 Accepting new patients

Locations

3 Baldwin Green Cmn
Ste 204
Woburn, MA 01801
Phone (781) 938-8558

800 W Cummings Park
Ste 1150
Woburn, MA 01801
Phone (781) 932-8650

800 W Cummings Park
#150
Woburn, MA 01801
Phone (781) 938-8558

Interoperability endpoints

  • Direct secure messaging: mmoramarco@mcc0026.direct.chirotouch.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154330272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CARTER LN",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106071",
            "telephone_number": "978-470-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BALDWIN GREEN CMN",
            "address_2": "SUITE 204",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011865",
            "telephone_number": "781-938-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAMARCO",
        "first_name": "MARC",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "729503",
            "identifier": "TUFTS",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "352364",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y35835",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4404513",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.