Individual provider Active NPI

Raimundo Marquez, DC

  • Chiropractor
  • Vineland, NJ
National Provider Identifier
1720172430
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NJ38MC00662500 Issued in NJ
Practice address
837 E Landis Ave
Vineland, NJ 08360-8002
Phone
(678) 770-0644
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NJ38MC00662500 NJ Primary

Addresses

Primary practice location

837 E Landis Ave
Vineland, NJ 08360-8002

Mailing address

837 E Landis Ave
Vineland, NJ 08360-8002
Phone (678) 770-0644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090109000298 NJ Practitioner - Chiropractic 5193787778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back Pain Relief CenterGroup PAC ID 4183802077, 2 clinicians

Practice addresses (Care Compare)

1133 E Chestnut Ave
Suite 2
Vineland, NJ 08360-5054
Phone (856) 690-8883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ38MC00662500NJMDChiropractor
3304SCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chartwell Durable Medical Supply, LLC PastSince Apr 1, 2019 Accepting new patients
Mid-Atlantic Pain Specialists LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1720172430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 E LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608002",
            "telephone_number": "678-770-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 E LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608002",
            "telephone_number": "678-770-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "RAIMUNDO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "NJ38MC00662500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.