Individual provider Active NPI

Joshua James Kramarenko, DC

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1861059859
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011379 Issued in PA
Practice address
1608 Walnut St Ste 601
Philadelphia, PA 19103-5447
Phone
(215) 546-1010
NPI assigned
May 24, 2019
Last updated
May 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 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 DC011379 PA Primary
Rehabilitation Chiropractor 111NR0400X AJ011111 PA

Addresses

Primary practice location

1608 Walnut St Ste 601
Philadelphia, PA 19103-5447

Mailing address

1608 Walnut St Ste 601
Philadelphia, PA 19103-5447
Phone (215) 546-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925001853 VA Practitioner - Chiropractic 7113251166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan R. Schaier, D.C.,P.C.Group PAC ID 6103863998, 2 clinicians
Professional Chiropractic and Rehabilition Center PCGroup PAC ID 2062426661, 2 clinicians

Practice addresses (Care Compare)

3220 Churchland Blvd
Chesapeake, VA 23321-5206
Phone (757) 483-6000

810 Kempsville Rd
Suite 1
Virginia Beach, VA 23464-2723
Phone (757) 424-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ011111PAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Chiropractic & Rehabilition Center P.C. Chiropractor CurrentSince Dec 11, 2023 Accepting new patients
Kempsville Chiropractic Chiropractor CurrentSince Aug 21, 2020 Accepting new patients
Kempsville Wellness LLC CurrentSince Dec 11, 2023 Accepting new patients
Jonathan R. Schaier, D.C.,P.C. Chiropractor CurrentSince Oct 18, 2021 Accepting new patients
Dr Brian Scott LLC Chiropractor PastSince Oct 18, 2021 Accepting new patients

Locations

3220 Churchland Blvd
Chesapeake, VA 23321
Phone (757) 483-6000

1932 Kempsville Rd
Ste 103
Virginia Beach, VA 23464
Phone (757) 467-5258

810 Kempsville Rd
Ste 1
Virginia Beach, VA 23464
Phone (757) 313-5420

Organizations & group practices 5

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1861059859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 WALNUT ST STE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035447",
            "telephone_number": "215-546-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WALNUT ST STE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035447",
            "telephone_number": "215-546-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMARENKO",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011379",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "AJ011111",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 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.