Louis L. Demoulin, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00282200 Issued in NJ

Practice address

52 Tuckahoe Rd
Marmora, NJ 08223-1206

Phone

(609) 390-8490

Fax

(609) 845-1850

NPI assigned

Oct 12, 2006

Last updated

Oct 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Demoulin Chiropractic CenterGroup PAC ID 2062699598, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Demoulin Chiropractic Center

  • Sports Physician Chiropractor
  • Marmora, NJ
  • NPI 1114014271
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1184713398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TUCKAHOE RD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231206",
            "telephone_number": "609-390-8490",
            "fax_number": "609-845-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TUCKAHOE RD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231206",
            "telephone_number": "609-390-8490",
            "fax_number": "609-845-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOULIN",
        "first_name": "LOUIS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00282200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "520540RSV",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Andrew Dannehower, PT, OCS
• Hemang U Dave, M.D.
• Sean T Deacon, MPT
• Demoulin Chiropractic Center
• Ellen T Demoulin, D.C.
• Roy Diaz
• Beverly L Dicerbo, RN,APN,C
• Patrick S Eye, APRN, BC
• Family Practice Associates of Cape May County, PA
• Allison Farrell, LCSW

• Sports Physician Chiropractor in Marmora, NJ
• Providers in Marmora, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.