Individual provider Active NPI

Harrison Ranallo, D.C.

  • Chiropractor
  • Robbinsville, NJ
National Provider Identifier
1740678218
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00737100 Issued in NJ
Practice address
17 Main St Ste 403
Robbinsville, NJ 08691-1436
Phone
(609) 686-2050
NPI assigned
Jan 6, 2015
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6032 MN
Chiropractor 111N00000X 38MC00737100 NJ Primary

Addresses

Primary practice location

17 Main St Ste 403
Robbinsville, NJ 08691-1436

Mailing address

17 Main St Ste 403
Robbinsville, NJ 08691-1436
Phone (609) 686-2050

Other practice location 1

9500 K Johnson Blvd
Bordentown, NJ 08505-2264
Phone (609) 817-0050

Other practice location 2

17 Main St Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000472 NJ Practitioner - Chiropractic 3678873726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Sport Spine and Wellness LLCGroup PAC ID 1153658299, 11 clinicians

Practice addresses (Care Compare)

17 Main St
Suite 403
Robbinsville, NJ 08691-1436
Phone (609) 686-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6032MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Sport Spine & Wellness LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

17 Main St
Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1740678218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST STE 403",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911436",
            "telephone_number": "609-686-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST STE 403",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911436",
            "telephone_number": "609-686-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 K Johnson Blvd",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085052264",
            "country_code": "US",
            "telephone_number": "609-817-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Main St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NJ",
            "postal_code": "08691",
            "country_code": "US",
            "telephone_number": "609-686-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANALLO",
        "first_name": "HARRISON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6032",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00737100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.