Organization Active NPI

Madorno Chiropractic

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1508100546
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC 05871 Issued in NJ
Legal business name
MADORNO CHIROPRACTIC
Practice address
9002 Lincoln Dr W Ste B
Marlton, NJ 08053-3204
Phone
(856) 985-3336
Fax
(856) 985-5615
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Michael Thomas Madorno, DCNPI 1851314553
Title
Owner / President
Phone
(856) 985-3336

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 MC 05871 NJ Primary

Addresses

Primary practice location

9002 Lincoln Dr W Ste B
Marlton, NJ 08053-3204

Mailing address

9002 Lincoln Dr W Ste B
Marlton, NJ 08053-3204
Phone (856) 985-3336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121119000403 NJ Part B Supplier - Clinic/Group Practice 7911158076 Receives reassigned benefits from 3 practitioners
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

875 Route 73 N
Ste B
Marlton, NJ 08053
Phone (856) 985-3336

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1508100546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 LINCOLN DR W STE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533204",
            "telephone_number": "856-985-3336",
            "fax_number": "856-985-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 LINCOLN DR W STE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533204",
            "telephone_number": "856-985-3336",
            "fax_number": "856-985-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADORNO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MADORNO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "856-985-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC 05871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.