John Pandolfo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005378L Issued in PA

Practice address

3434 Garrett Rd
Drexel Hill, PA 19026-2941

Phone

(610) 622-7140

Fax

(610) 622-6782

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Drexel Spine & Rehab

  • Chiropractor
  • Drexel Hill, PA
  • NPI 1386894301
  Medicare reassignment NPD Authorized official
• Pandolfo Chiropractic Center

  • Chiropractor
  • Drexel Hill, PA
  • NPI 1881844801
  NPD (past) Authorized official

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1518911759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262941",
            "telephone_number": "610-622-7140",
            "fax_number": "610-622-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262941",
            "telephone_number": "610-622-7140",
            "fax_number": "610-622-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDOLFO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005378L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padhiar Group (Bloomfield Dental)
• Dheeren Padhiar, D.M.D
• Jodi Paisner
• Pamela Miller Lunardi, Psy.D., P.C.
• Pandolfo Chiropractic Center
• John Russell Pandolfo
• Tanvi Shyamsundar Pangam
• April Keeling Papa, D.O.
• Homayoon Pasdar, MD
• Harsh Patel, DMD

• Chiropractor in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.