Organization Active NPI

Suburban Chiropractic: Neck and Back Pain Relief Inc.

  • Chiropractor
  • Newark, DE
National Provider Identifier
1710434790
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F10000625 Issued in DE
Legal business name
SUBURBAN CHIROPRACTIC: NECK AND BACK PAIN RELIEF INC.
Practice address
1220 Peoples PLZ
Newark, DE 19702-5701
Phone
(302) 261-6346
Fax
(302) 838-2082
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Gregory J Angermaier, D.C.NPI 1477632248
Title
President
Phone
(631) 848-7976

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F10000625 DE Primary

Addresses

Primary practice location

1220 Peoples PLZ
Newark, DE 19702-5701

Mailing address

PO Box 7720
Newark, DE 19714-7720
Phone (302) 261-6346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161128001139 DE Part B Supplier - Clinic/Group Practice 7214216761 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Locations

757 Pulaski Hwy
Ste 5
Bear, DE 19701
Phone (302) 554-5421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1710434790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7720",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197147720",
            "telephone_number": "302-261-6346",
            "fax_number": "302-838-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PEOPLES PLZ",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025701",
            "telephone_number": "302-261-6346",
            "fax_number": "302-838-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN CHIROPRACTIC: NECK AND BACK PAIN RELIEF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "ANGERMAIER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-848-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10000625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.