Organization Active NPI

Marc Belitsky D.C., .PC.

  • Clinic/Center
  • Broomall, PA
National Provider Identifier
1558893024
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC003758L Issued in PA
Legal business name
MARC BELITSKY D.C., .PC.
Practice address
2633 West Chester Pike
Broomall, PA 19008
Phone
(610) 353-2220
NPI assigned
Apr 3, 2017
Last updated
Apr 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Dr. Marc Belitsky, DCNPI 1407883531
Title
Owner
Phone
(610) 353-2220

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
Clinic/Center 261Q00000X DC003758L PA Primary

Addresses

Primary practice location

2633 West Chester Pike
Broomall, PA 19008

Mailing address

2633 W Chester Pike
2633 West Chester Pike
Broomall, PA 19008-1930
Phone (610) 353-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170523001764 PA Part B Supplier - Clinic/Group Practice 9234406240 Receives reassigned benefits from 2 practitioners
Practice locations: Broomall, PA

National Provider Directory

National Provider Directory

Locations

2633 W Chester Pike
Broomall, PA 19008
Phone (610) 353-2220

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1558893024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 W CHESTER PIKE",
            "address_2": "2633 WEST CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081930",
            "telephone_number": "610-353-2220",
            "fax_number": "610-353-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 WEST CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "19008",
            "telephone_number": "610-353-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC BELITSKY D.C., .PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "BELITSKY",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-353-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC003758L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.