Individual provider Active NPI

Jay Robert Marienthal, D.C.

  • Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1447428586
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9518 Issued in FL
Practice address
36 NE 2ND Ave
Deerfield Beach, FL 33441-3504
Phone
(954) 421-2644
Fax
(954) 428-7502
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9518 FL Primary

Addresses

Primary practice location

36 NE 2ND Ave
Deerfield Beach, FL 33441-3504

Mailing address

36 NE 2ND Ave
Deerfield Beach, FL 33441-3504
Phone (954) 421-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000517 FL Practitioner - Chiropractic 6305916081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 NE 2ND Ave
Deerfield Beach, FL 33441-3504
Phone (954) 421-2644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1447428586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 NE 2ND AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413504",
            "telephone_number": "954-421-2644",
            "fax_number": "954-428-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NE 2ND AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413504",
            "telephone_number": "954-421-2644",
            "fax_number": "954-428-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIENTHAL",
        "first_name": "JAY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.