Individual provider Active NPI

Marc J Belitsky, D.C.

  • Chiropractor
  • Broomall, PA
National Provider Identifier
1407883531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003758L Issued in PA
Practice address
2633 W Chester Pike
Broomall, PA 19008-1930
Phone
(610) 353-2220
Fax
(610) 353-7062
NPI assigned
Jun 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003758L PA Primary

Addresses

Primary practice location

2633 W Chester Pike
Broomall, PA 19008-1930

Mailing address

2633 W Chester Pike
Broomall, PA 19008-1930
Phone (610) 353-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120515000592 PA Practitioner - Chiropractic 7517976699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc Belitsky DC PCGroup PAC ID 9234406240, 2 clinicians

Practice addresses (Care Compare)

2633 W Chester Pike
Broomall, PA 19008-1930
Phone (610) 353-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003758LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Belitsky D.C., .PC. CurrentSince Jun 15, 2017 Accepting new patients

Locations

2633 W Chester Pike
Broomall, PA 19008
Phone (610) 353-2220

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407883531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 W CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081930",
            "telephone_number": "610-353-2220",
            "fax_number": "610-353-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 W CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081930",
            "telephone_number": "610-353-2220",
            "fax_number": "610-353-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELITSKY",
        "first_name": "MARC",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003758L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

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.

Verify at the official NPI Registry.