Drexel Spine & Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DREXEL SPINE & REHAB

Practice address

3701 Garrett Rd
Drexel Hill, PA 19026-3005

Phone

(610) 622-4888

Fax

(610) 622-4885

NPI assigned

Sep 26, 2008

Last updated

May 31, 2016By 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. John Pandolfo, D.CNPI 1518911759

Title

Provider

Phone

(610) 622-4888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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.

• John Pandolfo, D.C.

  • Chiropractor
  • Drexel Hill, PA
  • NPI 1518911759
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1386894301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263005",
            "telephone_number": "610-622-4888",
            "fax_number": "610-622-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263005",
            "telephone_number": "610-622-4888",
            "fax_number": "610-622-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREXEL SPINE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "PANDOLFO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "610-622-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.