Martin Thomas Munley Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004806L Issued in PA

Practice address

3910 Birney Avenue
Moosic, PA 18507-1516

Phone

(570) 963-1033

Fax

(570) 558-1709

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629106745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 BIRNEY AVENUE",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071516",
            "telephone_number": "570-963-1033",
            "fax_number": "570-558-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 BIRNEY AVENUE",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071516",
            "telephone_number": "570-963-1033",
            "fax_number": "570-558-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNLEY",
        "first_name": "MARTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004806L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01661110",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "MU757656",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MU1670025",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Mercatili Cimino, MSCCC-SLP
• April Mercier
• Justine M Metcho, DPM
• Moosic Dental Group Inc
• Moosic Hose Co Ambulance
• Peter Nallin, DC
• Kristie Marie Nardell, M.D.
• Kelsey Gail Nataupsky, LMFT
• Carri Newcomb
• Northeast Foot & Ankle Associates, LLC.

• Chiropractor in Moosic, PA
• Providers in Moosic, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.