Active NPI
Anthony Deeugenio III, D.C.
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1184822165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009628
- Practice address
- 1726 S Broad St
Philadelphia, PA 19145-2300 - Phone
- (215) 551-3720
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009628 | PA | Primary |
Addresses
Primary practice location
1726 S Broad St
Philadelphia, PA 19145-2300
Mailing address
170 Langley Rd
Pittsgrove, NJ 08318-2032
Phone (856) 305-2145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009628 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1184822165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 LANGLEY RD",
"city": "PITTSGROVE",
"state": "NJ",
"postal_code": "083182032",
"telephone_number": "856-305-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452300",
"telephone_number": "215-551-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEUGENIO",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Deer Meadows Hospice & Palliative Comfort Services, LLC
- Deer Meadows in Your Home Outpatient Rehab, LLC
- Deer Meadows Operating LLC
- Phillip Deerwester, MD
- Adina Marie Dees, MD
- Deborah Deeugenio, PHARMD
- Lewis John Deeugenio, M.D.
- Christina M Defamio, CRNP
- Carly Defaria, MD
- Christina Nicole Defelice, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.