Scordilis Family Chiropractic, PA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00175000 Issued in NJ

Legal business name

SCORDILIS FAMILY CHIROPRACTIC, PA

Practice address

300 Broadacres Dr Ste 126
Bloomfield, NJ 07003-3153

Phone

(973) 473-4481

Fax

(973) 473-8852

NPI assigned

Dec 11, 2006

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George C Scordilis, DCNPI 1942308671

Title

President

Phone

(973) 473-4481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Harrison Spine & Rehabilitation Center, LLC

  • Chiropractor
  • Harrison, NJ
  • NPI 1942445432

  Member Of

  NPD member

Locations

Practitioners 6

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.

• George C Scordilis, DC

  • Sports Physician Chiropractor
  • Clifton, NJ
  • NPI 1942308671
  Medicare reassignment Care Compare group NPD Authorized official
• Dominic Oramas, DC

  • Chiropractor
  • Bloomfield, NJ
  • NPI 1609639939
  Medicare reassignment Care Compare group NPD
• Peter J Scordilis, DC

  • Chiropractor
  • Bloomfield, NJ
  • NPI 1043318785
  Medicare reassignment Care Compare group NPD
• Neal Shah, DPT

  • Physical Therapist
  • Morris Plains, NJ
  • NPI 1104248350
  Medicare reassignment NPD
• Joseph J Licitra, DC

  • Chiropractor
  • Bloomfield, NJ
  • NPI 1891795514
  NPD
• Nicholas William Ligosh, D.C.

  • Chiropractor
  • Butler, NJ
  • NPI 1619064219
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1386704559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADACRES DR STE 126",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033153",
            "telephone_number": "973-473-4481",
            "fax_number": "973-473-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADACRES DR STE 126",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033153",
            "telephone_number": "973-473-4481",
            "fax_number": "973-473-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCORDILIS FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "SCORDILIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-473-4481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00175000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burton A Schlecker, M.D.
• Jacob R Schuck, PT
• Howard Schulberg, DDS
• Richard Alan Schuman, D.M.D.
• Bernadette T Scolamiero, PSYD
• Peter J Scordilis, DC
• Scott W. Woerner, PH.D.
• Michelle Mara Scull, LCSW
• Joseph Sedonio, RNFA
• Nada Seet, M.A., M.F.A.

• Sports Physician Chiropractor in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.