Individual provider Active NPI

Joseph J Cammarata, D.C.

  • Chiropractor
  • Bala Cynwyd, PA
National Provider Identifier
1659450930
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002362L Issued in PA
Practice address
1 Bala PLZ
4TH Floor
Bala Cynwyd, PA 19004-1403
Phone
(610) 664-5800
Fax
(610) 664-6760
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002362L PA Primary

Addresses

Primary practice location

1 Bala PLZ
4TH Floor
Bala Cynwyd, PA 19004-1403

Mailing address

1 Bala PLZ
4TH Floor
Bala Cynwyd, PA 19004-1403
Phone (610) 664-5800

Other identifiers 6

IdentifierTypeStateIssuer
196984OtherPAINDIVIDUAL HIGHMARK PIN
0023342000OtherPAINDIVIDUAL IBC PIN
0058127OtherPAAETNA PPO PIN
279521OtherPAGROUP HIGHMARK PIN
5896151OtherPAAETNA HMO PIN
0472793000OtherPAGROUP IBC PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002362LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1659450930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA PLZ",
            "address_2": "4TH FLOOR",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041403",
            "telephone_number": "610-664-5800",
            "fax_number": "610-664-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA PLZ",
            "address_2": "4TH FLOOR",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041403",
            "telephone_number": "610-664-5800",
            "fax_number": "610-664-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMARATA",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002362L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL HIGHMARK PIN",
            "identifier": "196984",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL IBC PIN",
            "identifier": "0023342000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PIN",
            "identifier": "0058127",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HIGHMARK PIN",
            "identifier": "279521",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PIN",
            "identifier": "5896151",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP IBC PIN",
            "identifier": "0472793000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.