Active NPI
Raymond Polaski, D.C.
- Chiropractor
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F1-0000551
- Practice address
- 179 W Chestnut Hill Rd Ste 1&2
Newark, DE 19713-2210 - Phone
- (302) 317-9309
- Fax
- (302) 384-7563
- NPI assigned
- Nov 13, 2006
- Last updated
- May 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F1-0000551 | DE | Primary |
Addresses
Primary practice location
179 W Chestnut Hill Rd Ste 1&2
Newark, DE 19713-2210
Mailing address
179 W Chestnut Hill Rd Ste 1&2
Newark, DE 19713-2210
Phone (302) 317-9309
Other practice location 1
2055 Limestone Rd Ste 209A
Wilmington, DE 19808-5536
Phone (302) 317-9309
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155041000 | Other | DE | AMERIHEALTH HMO |
| 680536689 | Other | DE | UNITED HEALTH CARE |
| 3180857 | Other | DE | AETNA HMO |
| 680536689 | Other | DE | BLUE CROSS BLUE SHIELD |
| 1471580 | Other | DE | AMERIHEALTH PPO |
| 680536689 | Other | DE | CIGNA |
| 7834488 | Other | DE | AETNA PPO |
| 5897460 | Other | DE | GHI |
| 680536689 | Medicaid | DE | |
| KET6PO | Other | DE | CARE FIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
179 W Chestnut Hill Rd
Suite 1And2
Newark, DE 19713-2210
Phone (302) 453-4043
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1-0000551 | DE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glasgow Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Health One P.a. | Chiropractor | Past | Accepting new patients |
| Carolina Spine and Rehab | Chiropractor | Past | Accepting new patients |
Locations
1536 Kirkwood Hwy
Newark, DE 19711
Phone (302) 454-1200
179 W Chestnut Hill Rd
Ste 12
Newark, DE 19713
Phone (302) 317-9309
650 Plaza Dr
Newark, DE 19702
Phone (302) 453-4043
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Newark, DE
- NPI 1396758660
-
- Chiropractor
- Wilmington, DE
- NPI 1497871115
-
- Chiropractor
- Charlotte, NC
- NPI 1912076134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1588735443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 W CHESTNUT HILL RD STE 1&2",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132210",
"telephone_number": "302-317-9309",
"fax_number": "302-384-7563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 W CHESTNUT HILL RD STE 1&2",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132210",
"telephone_number": "302-317-9309",
"fax_number": "302-384-7563"
}
],
"practiceLocations": [
{
"address_1": "2055 Limestone Rd Ste 209A",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198085536",
"country_code": "US",
"telephone_number": "302-317-9309",
"fax_number": "302-384-7563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLASKI",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "2155041000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "680536689",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3180857",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "680536689",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "1471580",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "680536689",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7834488",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5897460",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "680536689",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "KET6PO",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.