Active NPI
Michael Dennis Dellanno, D.C.
- Chiropractor
- Bloomfield, NJ
National Provider Identifier
1891743795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00550900
- Practice address
- 532 Broad St
Bloomfield, NJ 07003-2762 - Phone
- (973) 429-9650
- Fax
- (973) 743-9693
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 38MC00550900 | NJ | Primary |
Addresses
Primary practice location
532 Broad St
Bloomfield, NJ 07003-2762
Mailing address
532 Broad St
Bloomfield, NJ 07003-2762
Phone (973) 429-9650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090820000085 | NJ | Practitioner - Chiropractic | 8426102849 | Practice locations: Bloomfield, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dellanno Family Chiropractic Center | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Bloomfield, NJ
- NPI 1710212311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891743795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032762",
"telephone_number": "973-429-9650",
"fax_number": "973-743-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032762",
"telephone_number": "973-429-9650",
"fax_number": "973-743-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLANNO",
"first_name": "MICHAEL",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00550900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.