Active NPI
Ralph J Demarino, DC
- Chiropractor
- Phila, PA
National Provider Identifier
1720184245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006178L
- Practice address
- 333 Bainbridge St
1St Floor
Phila, PA 19147 - Phone
- (215) 922-6333
- Fax
- (215) 922-6310
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- 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 | DC006178L | PA | Primary |
Addresses
Primary practice location
333 Bainbridge St
1St Floor
Phila, PA 19147
Mailing address
333 Bainbridge St
1St Floor
Phila, PA 19147
Phone (215) 922-6333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01561895 | Medicaid | PA | |
| 0167580000 | Other | PA | PERSONAL CHOICE GROUP |
| 0167580000 | Other | PA | KEYSTONE EAST GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080218000640 | PA | Practitioner - Chiropractic | 2163505884 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 Bainbridge St
FL 1
Philadelphia, PA 19147-1715
Phone (215) 922-6333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC006178L | PA | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1720184245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BAINBRIDGE ST",
"address_2": "1ST FLOOR",
"city": "PHILA",
"state": "PA",
"postal_code": "19147",
"telephone_number": "215-922-6333",
"fax_number": "215-922-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BAINBRIDGE ST",
"address_2": "1ST FLOOR",
"city": "PHILA",
"state": "PA",
"postal_code": "19147",
"telephone_number": "215-922-6333",
"fax_number": "215-922-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARINO",
"first_name": "RALPH",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006178L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01561895",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE GROUP",
"identifier": "0167580000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST GROUP",
"identifier": "0167580000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.