Active NPI
Tina Sy Maruszewski, D.C.
- Chiropractor
- Troy, MI
National Provider Identifier
1700993763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TM008126
- Practice address
- 89 W South Blvd
Ste 400
Troy, MI 48085-1611 - Phone
- (248) 289-6506
- Fax
- (248) 289-6516
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | TM008126 | MI | Primary |
Addresses
Primary practice location
89 W South Blvd
Ste 400
Troy, MI 48085-1611
Mailing address
89 W South Blvd
Ste 400
Troy, MI 48085-1611
Phone (248) 289-6506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H25864 | Other | MI | BC GRP |
| 950H210500 | Other | MI | BCBSM PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TM008126 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bridge Chiropractic P.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Northville, MI
- NPI 1164869228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1700993763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 W SOUTH BLVD",
"address_2": "STE 400",
"city": "TROY",
"state": "MI",
"postal_code": "480851611",
"telephone_number": "248-289-6506",
"fax_number": "248-289-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 W SOUTH BLVD",
"address_2": "STE 400",
"city": "TROY",
"state": "MI",
"postal_code": "480851611",
"telephone_number": "248-289-6506",
"fax_number": "248-289-6516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUSZEWSKI",
"first_name": "TINA",
"middle_name": "SY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "TM008126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC GRP",
"identifier": "0H25864",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PROVIDER NUMBER",
"identifier": "950H210500",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.