Active NPI
Jason Charles Perillo, DC
- Chiropractor
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009889
- Practice address
- 2299 Brodhead Rd Ste a
Bethlehem, PA 18020-8990 - Phone
- (610) 317-9355
- Fax
- (610) 317-9354
- NPI assigned
- Nov 22, 2006
- Last updated
- Mar 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9214 | NY | |
| Chiropractor | 111N00000X | DC009889 | PA | Primary |
Addresses
Primary practice location
2299 Brodhead Rd Ste a
Bethlehem, PA 18020-8990
Mailing address
PO Box 20704
Lehigh Valley, PA 18002-0704
Phone (610) 317-9355
Other practice location 1
4621 Fort Hamilton Pkwy
Brooklyn, NY 11219-2414
Phone (718) 435-0471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2299 Brodhead Rd
Suite O
Bethlehem, PA 18020-8990
Phone (610) 317-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9214 | NY | MD | Chiropractor |
| DC009889 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perillo Chiropractic LLP | Chiropractor | Current | Accepting new patients |
| Perillo Chiropractic LLP | Chiropractor | Current | Accepting new patients |
| Boro Park Chiropractic Health Wellness PC | Chiropractor | Past | Accepting new patients |
Locations
4621 Fort Hamilton Pkwy
Brooklyn, NY 11219
Phone (718) 435-0471
2299 Brodhead Rd
Ste A
Bethlehem, PA 18020
Phone (610) 317-9355
2299 Brodhead Rd
Ste O
Bethlehem, PA 18020
Phone (484) 241-6127
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Brooklyn, NY
- NPI 1588002992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1699840603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20704",
"city": "LEHIGH VALLEY",
"state": "PA",
"postal_code": "180020704",
"telephone_number": "610-317-9355",
"fax_number": "610-317-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2299 BRODHEAD RD STE A",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208990",
"telephone_number": "610-317-9355",
"fax_number": "610-317-9354"
}
],
"practiceLocations": [
{
"address_1": "4621 Fort Hamilton Pkwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112192414",
"country_code": "US",
"telephone_number": "718-435-0471",
"fax_number": "718-437-7518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERILLO",
"first_name": "JASON",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "9214",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
- Lisa Marie Perez, M.S.,C.C.C. - SLP
- Christine Lynne Perilli, M.S. CCC-SLP
- Perillo Chiropractic LLP (Be Well Chiropractic)
- Perillo Chiropractic LLP (Be Well Chiropractic)
- Christy Perillo, DC
- Jeffrey C. Perkins, MD
- Shannon Perocho
- Evan Anthony Perone
- Jennifer Rebecca Perreault, LPC
- Sophia Elizabeth Yuan Perrotta
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.