Bridesburg Spine and Injury Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009115 Issued in PA

Legal business name

BRIDESBURG SPINE AND INJURY CLINIC LLC

Practice address

2644 Lefevre St
Philadelphia, PA 19137-1733

Phone

(215) 743-5330

Fax

(215) 941-6441

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Anthony P Calantoni, DCNPI 1932395829

Title

Owner Chiropractor

Phone

(215) 743-5330

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Anthony Placido Calantoni, D.C.

  • Rehabilitation Chiropractor
  • Philadelphia, PA
  • NPI 1932395829
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1295143303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 LEFEVRE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371733",
            "telephone_number": "215-743-5330",
            "fax_number": "215-941-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 LEFEVRE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371733",
            "telephone_number": "215-743-5330",
            "fax_number": "215-941-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDESBURG SPINE AND INJURY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "CALANTONI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "215-743-5330",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MC ID",
            "identifier": "117559",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Elena Brickman, MD
• Jessica Briddell-Hasben
• Dana Briddell
• Bridesburg Medical Associates, P.C.
• Bridesburg Pharmacy
• Bridge Care Hospice Inc
• Bridge Residential Homes
• Bridge Support Coordination Services
• Bridgecare Medicine LLC
• Amy Bridgeman, M.D.

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.