NPIMap

Organization Active NPI

Porzio-Hawley Chiropractic & Nutrition Center LLC

  • Chiropractor
  • Clarks Summit, PA
National Provider Identifier
1679804348
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001757 Issued in CT
Legal business name
PORZIO-HAWLEY CHIROPRACTIC & NUTRITION CENTER LLC
Practice address
210 N State St
Clarks Summit, PA 18411-1008
Phone
(860) 384-0374
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Dr. Nicole Marie Porzio-Hawley, DCNPI 1942477963
Title
Physician
Phone
(860) 304-0374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 001757 CT Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 001755 CT
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC010864 PA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC010865 PA

Addresses

Primary practice location

210 N State St
Clarks Summit, PA 18411-1008

Mailing address

210 N State St
Clarks Summit, PA 18411-1008
Phone (860) 384-0374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325000532 PA Part B Supplier - Clinic/Group Practice 6002133345 Receives reassigned benefits from 1 practitioner
Practice locations: Montrose, PA

National Provider Directory

National Provider Directory

Locations

1850 West St
#2
Southington, CT 06489
Phone (860) 620-1705

210 N State St
Clarks Summit, PA 18411
Phone (860) 384-0267

405 Grow Ave
Montrose, PA 18801
Phone (860) 384-0267

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1679804348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111008",
            "telephone_number": "860-384-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111008",
            "telephone_number": "860-384-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORZIO-HAWLEY CHIROPRACTIC & NUTRITION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "PORZIO-HAWLEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-304-0374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001757",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001755",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010864",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.

Verify at the official NPI Registry.