Individual provider Active NPI

Gary T Scardino, D.C.

  • Chiropractor
  • Newtown, PA
National Provider Identifier
1891830816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006909L Issued in PA
Practice address
319 S State St
Newtown, PA 18940-1929
Phone
(215) 860-7275
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006909L PA Primary

Addresses

Primary practice location

319 S State St
Newtown, PA 18940-1929

Mailing address

319 S State St
Newtown, PA 18940-1929
Phone (215) 860-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000199 PA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3072772797 Reassigns benefits to 1 organization
Practice locations: Newtown, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 S State St
Newtown, PA 18940-1929
Phone (215) 860-7275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC006909LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gary Scardino, LLC Chiropractor CurrentSince Jul 30, 2021 Accepting new patients
Dr Gary Scardino Chiropractor PastSince Nov 12, 1997 Accepting new patients

Locations

319 S State St
Newtown, PA 18940
Phone (215) 860-7275

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891830816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S STATE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401929",
            "telephone_number": "215-860-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S STATE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401929",
            "telephone_number": "215-860-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDINO",
        "first_name": "GARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006909L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.