Organization Active NPI

Dr. Mark Augello, LLC

Doing business as Augello Chiropractic

  • Chiropractor
  • Bethlehem, PA
National Provider Identifier
1326164294
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. MARK AUGELLO, LLC
Doing business as
Augello Chiropractic
Practice address
1578 Easton Avenue
Bethlehem, PA 18017-5911
Phone
(610) 866-4440
Fax
(610) 866-5671
NPI assigned
Mar 22, 2007
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. Mark J Augello, DCNPI 1447283742
Title
Owner
Phone
(610) 866-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X PA Primary

Addresses

Primary practice location

1578 Easton Avenue
Bethlehem, PA 18017-5911

Mailing address

1578 Easton Ave
Bethlehem, PA 18017-5911
Phone (610) 866-4440

Other names 1

  • Augello Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140603001600 PA Part B Supplier - Clinic/Group Practice 3375766710 Receives reassigned benefits from 2 practitioners
Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1326164294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180175911",
            "telephone_number": "610-866-4440",
            "fax_number": "610-866-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 EASTON AVENUE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180175911",
            "telephone_number": "610-866-4440",
            "fax_number": "610-866-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK AUGELLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "AUGELLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-866-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augello Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.