Individual provider Active NPI

Jonathan Alan Madnick, D.C.

  • Chiropractor
  • Bensalem, PA
National Provider Identifier
1376543181
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004458L Issued in PA
Practice address
2618 Street Rd
Bensalem, PA 19020-2602
Phone
(215) 639-5525
Fax
(215) 639-4588
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004458L PA Primary

Addresses

Primary practice location

2618 Street Rd
Bensalem, PA 19020-2602

Mailing address

573 Philip Rd
Huntingdon Valley, PA 19006-2937
Phone (215) 938-1507

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000631 PA Practitioner - Chiropractic 9133380926 Practice locations: Bensalem, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2618 St Rd
Bensalem, PA 19020-2602
Phone (215) 639-5525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004458LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services Associates Inc. Past Accepting new patients
MFC R PC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1376543181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 PHILIP RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062937",
            "telephone_number": "215-938-1507",
            "fax_number": "215-639-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 STREET RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202602",
            "telephone_number": "215-639-5525",
            "fax_number": "215-639-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADNICK",
        "first_name": "JONATHAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004458L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.