Individual provider Active NPI

Alec J Marcantonio

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1306331848
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15029 Issued in FL
Practice address
1041 NE 27TH Ter
Pompano Beach, FL 33062-4225
Phone
(954) 482-3117
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL5975 FL
Student in an Organized Health Care Education/Training Program 390200000X
Chiropractor 111N00000X CH15029 FL Primary

Addresses

Primary practice location

1041 NE 27TH Ter
Pompano Beach, FL 33062-4225

Mailing address

1041 NE 27TH Ter
Pompano Beach, FL 33062-4225
Phone (954) 482-3117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331001185 FL Practitioner - Chiropractic 0749714897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chirocare of Florida, IncGroup PAC ID 2062647910, 11 clinicians

Practice addresses (Care Compare)

701 Northlake Blvd
Suite 101
North Palm Beach, FL 33408-5215
Phone (561) 845-7292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL5975FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocare of Florida, Inc. Chiropractor CurrentSince Apr 1, 2025 Accepting new patients

Locations

701 Northlake Blvd
Ste 101
North Palm Beach, FL 33408
Phone (561) 845-7292

1600 S Federal Hwy
Ste 811
Pompano Beach, FL 33062

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1306331848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 NE 27TH TER",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624225",
            "telephone_number": "954-482-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 NE 27TH TER",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624225",
            "telephone_number": "954-482-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTONIO",
        "first_name": "ALEC",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5975",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.