Active NPI
August R Polino, D.C.
- Chiropractor
- Delran, NJ
National Provider Identifier
1366524639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NJMC01784
- Practice address
- 3001 Bridgeboro Rd
Delran, NJ 08075-9700 - Phone
- (856) 461-6262
- Fax
- (856) 461-7798
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | NJMC01784 | NJ | Primary |
Addresses
Primary practice location
3001 Bridgeboro Rd
Delran, NJ 08075-9700
Mailing address
3001 Bridgeboro Rd
Delran, NJ 08075-9700
Phone (856) 461-6262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1291700 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Bridgeboro Rd
Delran, NJ 08075-9700
Phone (856) 461-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJMC01784 | NJ | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366524639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 BRIDGEBORO RD",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080759700",
"telephone_number": "856-461-6262",
"fax_number": "856-461-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 BRIDGEBORO RD",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080759700",
"telephone_number": "856-461-6262",
"fax_number": "856-461-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLINO",
"first_name": "AUGUST",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "NJMC01784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1291700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delran, NJ
- Autumn Perlmutter
- Elizabeth Petrie, MPT
- Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
- Kimone Anieka Plummer, M.S.
- Erica B Polaneczky, APNC
- Jason R Polino, D.C.
- Pramukh Medical Services LLC (Fyzical Therapy and Balance Center)
- Raymond Ragland III, MD
- Debora Anne Rausch, MD
- Lauren Redding, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.