Active NPI
Ronald T. Merriel Jr., D.C.
- Chiropractor
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007899L
- Practice address
- 3502 Scotts LN
A-13
Philadelphia, PA 19129-1561 - Phone
- (215) 844-8484
- Fax
- (215) 933-5232
- NPI assigned
- Sep 30, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007899L | PA | Primary |
| Chiropractor | 111N00000X | 38MC00579500 | NJ |
Addresses
Primary practice location
3502 Scotts LN
A-13
Philadelphia, PA 19129-1561
Mailing address
205 Lincoln Ave
West Collingswood Heights, NJ 08059-1917
Phone (856) 979-3224
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006425000 | Other | BC/BS HMO | |
| 3818143 | Other | AETNA HMO | |
| N13471 | Other | AMERIHEALTH | |
| 7269397 | Other | AETNA PPO | |
| 13888 | Other | ELDERHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23101 Lake Ctr Dr
Suite 110
Lake Forest, CA 92630-2882
Phone (949) 586-2731
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00579500 | NJ | MD | Chiropractor |
| DC007899L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC | Current | Accepting new patients | |
| Regional Foot and Ankle Specialists, LLC | Past | Accepting new patients | |
| Better Health Wellness, LLC | Past | Accepting new patients |
Locations
23101 Lake Center Dr
Ste 110
Lake Forest, CA 92630
Phone (949) 586-2730
11828 Rancho Bernardo Rd
San Diego, CA 92128
11828 Rancho Bernardo Rd
Ste 205
San Diego, CA 92128
Phone (858) 485-8220
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.
-
- Pediatric Chiropractor
- Lake Forest, CA
- NPI 1063295392
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1063926798
-
- Foot & Ankle Surgery Podiatrist
- Turnersville, NJ
- NPI 1083629950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1760479232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LINCOLN AVE",
"city": "WEST COLLINGSWOOD HEIGHTS",
"state": "NJ",
"postal_code": "080591917",
"telephone_number": "856-979-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 SCOTTS LN",
"address_2": "A-13",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291561",
"telephone_number": "215-844-8484",
"fax_number": "215-933-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIEL",
"first_name": "RONALD",
"middle_name": "T.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007899L",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00579500",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS HMO",
"identifier": "2006425000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3818143",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "N13471",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7269397",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERHEALTH",
"identifier": "13888",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.