NPIMap

Organization Active NPI

Perillo Chiropractic LLP

  • Chiropractor
  • Bethlehem, PA
National Provider Identifier
1407091929
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009889 Issued in PA
Legal business name
PERILLO CHIROPRACTIC LLP
Practice address
2299 Brodhead Rd
Ste a
Bethlehem, PA 18020-8908
Phone
(917) 370-0860
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Dr. Jason C Perillo, DCNPI 1699840603
Title
Partner
Phone
(917) 370-0860

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 009889 PA Primary

Addresses

Primary practice location

2299 Brodhead Rd
Ste a
Bethlehem, PA 18020-8908

Mailing address

PO Box 20704
Lehigh Valley, PA 18002-0704
Phone (610) 317-9355

Other names 1

  • Be Well Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000013 PA Part B Supplier - Clinic/Group Practice 3577615582 Receives reassigned benefits from 1 practitioner
Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory
Tax ID family
Be Well Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2299 Brodhead Rd
Ste A
Bethlehem, PA 18020
Phone (610) 317-9355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1407091929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20704",
            "city": "LEHIGH VALLEY",
            "state": "PA",
            "postal_code": "180020704",
            "telephone_number": "610-317-9355",
            "fax_number": "610-317-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 BRODHEAD RD",
            "address_2": "STE A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208908",
            "telephone_number": "917-370-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERILLO CHIROPRACTIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "PERILLO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "917-370-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "009889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Well Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Be Well 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 Aug 27, 2019; 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.