Robert Joseph Marsillo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

634 Issued in CT

Practice address

484 Post Rd
Darien, CT 06820

Phone

(203) 656-2044

Fax

(203) 656-2042

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1986

Medicare assignment

May accept Medicare assignment

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.

• Darien Immediate Medical Care LLC

  • Urgent Care Clinic/Center
  • Darien, CT
  • NPI 1952443129
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1639132210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203606",
            "telephone_number": "203-656-2044",
            "fax_number": "203-656-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "06820",
            "telephone_number": "203-656-2044",
            "fax_number": "203-656-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSILLO",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "050000634CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P463905",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4334475",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy M. Manoni, M.D.
• Maria Anthy Manukas
• Dylin Jessica Marano
• Maria Cambareri, LLC (Maria Cambareri)
• Ben U. Marsan, M.D.
• Christina Martineau, PA
• Virginia Martinez, M.D.
• Lori E Mastrogiacomo, M.A., BCBA
• Sara Maria Mathews Dixon, LCSW
• Kristen Mattern, DPT

• Chiropractor in Darien, CT
• Providers in Darien, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.