Michael Joseph Polino, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

DC005975L Issued in PA

Practice address

700 East Township Line Road
Havertown, PA 19083-5733

Phone

(610) 853-2340

Fax

(610) 853-2343

NPI assigned

Nov 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Spinal Health and Rehab Center PA

  • Chiropractor
  • Pennsauken, NJ
  • NPI 1023062585
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1649343039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LIPPINCOTT AVE",
            "city": "RIVERSIDE",
            "state": "NJ",
            "postal_code": "080754015",
            "telephone_number": "856-461-3665",
            "fax_number": "856-461-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EAST TOWNSHIP LINE ROAD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835733",
            "telephone_number": "610-853-2340",
            "fax_number": "610-853-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "PA",
            "license": "DC005975L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Moeller Pisapia
• Maria Pistorio, LPC
• Stephanie Pizzica
• Platinum Health at Westgate LLC (Westgate Hills Rehabilitation and Nursing Center)
• Nottasorn Plipat, M.D.,PH.D.
• John B Pollock, PHARMD
• Susan Poussart
• Sarah Power
• Susan S. Power, LPC
• Adriana S Prawak, DO

• Orthopedic Chiropractor in Havertown, PA
• Providers in Havertown, PA by specialty
• Orthopedic Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.