Active NPI
Marc A Picchierri, D.C.
- Sports Physician Chiropractor
- Paramus, NJ
National Provider Identifier
1750336988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 38MC00183600
- Practice address
- 205 Robin Rd
Suite 118
Paramus, NJ 07652-1449 - Phone
- (201) 225-1511
- Fax
- (201) 225-9731
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 38MC00183600 | NJ | Primary |
Addresses
Primary practice location
205 Robin Rd
Suite 118
Paramus, NJ 07652-1449
Mailing address
205 Robin Rd
Suite 118
Paramus, NJ 07652-1449
Phone (201) 225-1511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065311 | Other | NJ | MEDICARE PTAN |
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 |
|---|---|---|---|
| 38MC00183600 | NJ | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paramus Medical and Sports Rehabilitation Center | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Paramus, NJ
- NPI 1134361181
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Paramus, NJ
- NPI 1356913834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1750336988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 ROBIN RD",
"address_2": "SUITE 118",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521449",
"telephone_number": "201-225-1511",
"fax_number": "201-225-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 ROBIN RD",
"address_2": "SUITE 118",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521449",
"telephone_number": "201-225-1511",
"fax_number": "201-225-9731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCHIERRI",
"first_name": "MARC",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NJ",
"license": "38MC00183600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "065311",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.