Cillo Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00495200 Issued in NJ

Legal business name

CILLO CHIROPRACTIC LLC

Practice address

10 Woodlane Drive
Blackwood, NJ 08012

Phone

(856) 228-0019

Fax

(856) 228-7992

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Philip N Cillo, DCNPI 1972541977

Title

Sole Member

Phone

(856) 228-0019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Philip N Cillo, D.C.

  • Chiropractor
  • Blackwood, NJ
  • NPI 1972541977
  Medicare reassignment NPD Authorized official
• Michael Jared Edenzon, DC

  • Nutrition Chiropractor
  • Wilmington, DE
  • NPI 1790860476

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1427590827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLANE DRIVE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-228-0019",
            "fax_number": "856-228-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLANE DRIVE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-228-0019",
            "fax_number": "856-228-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CILLO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "CILLO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "856-228-0019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00495200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Catre Catajoy, PT
• Chandler Group Home
• Chrissy Crawford Nutritionist Fitness & Therapeutic Health Center L.L.
• Jeannine Cicchini, D.C.
• Perry J Cicchini, DC
• Philip N Cillo, D.C.
• Angela Roman Clack, PSYD, LPC
• Clayton Adaptive Rehab Equipment, Inc
• Kyle Griffen Coles, RN
• Compassion Home Care LLC

• Chiropractor in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.