Active NPI
Dr. a Richard Polino DCPC
- Chiropractor
- Delran, NJ
National Provider Identifier
1649480401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NJMC003340
- Legal business name
- DR. A RICHARD POLINO DCPC
- Practice address
- 3001 Bridgeboro Rd
Delran, NJ 08075-9700 - Phone
- (856) 461-6262
- Fax
- (856) 461-7798
- NPI assigned
- May 23, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Jennifer K Polino
- Title
- Office Manager
- Phone
- (856) 461-6262
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lumberton, NJ
- NPI 1700945953
-
- Chiropractor
- Delran, NJ
- NPI 1366524639
-
- Chiropractor
- Delran, NJ
- NPI 1437231859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121102000156 | NJ | Part B Supplier - Clinic/Group Practice | 2466602255 |
Receives reassigned benefits from 3 practitioners Practice locations: Delran, NJ |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NJMC003340 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3001 Bridgeboro Rd
Delran, NJ 08075-9700
Mailing address
3001 Bridgeboro Rd
Delran, NJ 08075-9700
Phone (856) 461-6262
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8463905 | Medicaid | NJ | |
| 8464006 | Medicaid | NJ | |
| 1291700 | Medicaid | NJ |
Other names 1
NPPES NPI Registry- Delran Chiropractic PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649480401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 BRIDGEBORO RD",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080759700",
"telephone_number": "856-461-6262",
"fax_number": "856-461-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 BRIDGEBORO RD",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080759700",
"telephone_number": "856-461-6262",
"fax_number": "856-461-7798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. A RICHARD POLINO DCPC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POLINO",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-461-6262",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "NJMC003340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8463905",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8464006",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1291700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Delran Chiropractic PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Delran, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.