Organization Active NPI

Chris Marukos DPM

  • Customized Equipment (DME)
  • Philadelphia, PA
National Provider Identifier
1548436744
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
SC003264L Issued in PA
Legal business name
CHRIS MARUKOS DPM
Practice address
8410 Bustleton Ave
Ste 3
Philadelphia, PA 19152-1924
Phone
(215) 464-3600
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Chris Marukos, DPM
Title
Podiatrist
Phone
(215) 464-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X SC003264L PA Primary

Addresses

Primary practice location

8410 Bustleton Ave
Ste 3
Philadelphia, PA 19152-1924

Mailing address

8410 Bustleton Ave
Ste 3
Philadelphia, PA 19152-1924
Phone (215) 464-3600

Other identifiers 1

IdentifierTypeStateIssuer
001134493MedicaidPA

Other names 1

  • Dresher Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

8410 Bustleton Ave
Ste 3
Philadelphia, PA 19152
Phone (215) 464-3600

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1548436744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 BUSTLETON AVE",
            "address_2": "STE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521924",
            "telephone_number": "215-464-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 BUSTLETON AVE",
            "address_2": "STE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521924",
            "telephone_number": "215-464-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS MARUKOS DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "MARUKOS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "215-464-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "SC003264L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001134493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dresher Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.