A Nalyn Russo Marcus, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004477L Issued in PA

Practice address

820 Eaton Ave
Bethlehem, PA 18018-1832

Phone

(610) 974-8900

Fax

(610) 974-9344

NPI assigned

Apr 11, 2007

Last updated

Jul 15, 2008By the provider in NPPES

Sex

Female

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

Other names 1

• Dr. Nalyn Russo Marcus Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1669695383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 EATON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "610-974-8900",
            "fax_number": "610-974-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EATON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "610-974-8900",
            "fax_number": "610-974-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "A NALYN",
        "middle_name": "RUSSO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004477L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "642920",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "02828900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT BS",
            "identifier": "0473510000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NALYN",
            "last_name": "MARCUS",
            "middle_name": "RUSSO",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paul Gerard Marcincin, M.D.
• Robert P Marcincin, M.D.
• Terrence L. Marcincin, D.M.D.
• Suzanne A Marcinko Jackson, NP
• Andrea Marcolla
• Kristin Joy Marek, M.D.
• Josh Maret, MD
• Maria Garubba DMD LLC (Next Chapter Smiles)
• Christina Marie Mariani, CRNP
• Adam David Marish, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.