Todd L Demarco DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TODD L DEMARCO DC PA

Practice address

1079 W Summer Ave
Minotola, NJ 08341-1032

Phone

(856) 697-0006

Fax

(856) 697-9209

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Todd L Demarco, DCNPI 1174616957

Title

Owner

Phone

(856) 697-0006

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd L. Demarco, D.C.

  • Chiropractor
  • Minotola, NJ
  • NPI 1174616957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1902091697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 W SUMMER AVE",
            "city": "MINOTOLA",
            "state": "NJ",
            "postal_code": "083411032",
            "telephone_number": "856-697-0006",
            "fax_number": "856-697-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 W SUMMER AVE",
            "city": "MINOTOLA",
            "state": "NJ",
            "postal_code": "083411032",
            "telephone_number": "856-697-0006",
            "fax_number": "856-697-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD L DEMARCO DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-697-0006",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5883495",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8679207",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "741433",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quality Management Associates, Inc.
• Lowell R. Sheinkin, DDS
• Shuemate Specific Chiropractic LLC
• Mason Nicholas Shuemate, DC
• Myrnissa A Stone
• Albert J. Turpie, DMD

• Chiropractor in Minotola, NJ
• Providers in Minotola, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.