Individual provider Active NPI

Nancy Cillo-Polino, DC

  • Chiropractor
  • Lumberton, NJ
National Provider Identifier
1700945953
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00554700 Issued in NJ
Practice address
6 Quince Cir
Lumberton, NJ 08048-5280
Phone
(609) 410-8457
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 38MC00554700 NJ Primary

Addresses

Primary practice location

6 Quince Cir
Lumberton, NJ 08048-5280

Mailing address

6 Quince Cir
6 Quince Circle
Lumberton, NJ 08048-5280
Phone (609) 410-8457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012001250 NJ Practitioner - Chiropractic 1355449711 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. a Richard Polino DCPC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients

Locations

3001 Bridgeboro Rd
Delran, NJ 08075
Phone (856) 461-6262

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. a Richard Polino DCPC 3 clinicians

Practice addresses (Care Compare)

3001 Bridgeboro Rd
Delran, NJ 08075-9700
Phone (856) 461-6262

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700945953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 QUINCE CIR",
            "address_2": "6 QUINCE CIRCLE",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485280",
            "telephone_number": "609-410-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 QUINCE CIR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485280",
            "telephone_number": "609-410-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILLO-POLINO",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00554700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.