Organization Active NPI

Makefield Chiropractic Center P C

  • Sports Physician Chiropractor
  • Newtown, PA
National Provider Identifier
1902091804
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC-005434-L Issued in PA
Legal business name
MAKEFIELD CHIROPRACTIC CENTER P C
Practice address
11 Friends LN
Suite A159
Newtown, PA 18940-1885
Phone
(215) 860-9660
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Thomas M Sangiorgio, D.C.NPI 1972642445
Title
Owner/Chiropractor
Phone
(215) 860-9660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC-005434-L PA Primary

Addresses

Primary practice location

11 Friends LN
Suite A159
Newtown, PA 18940-1885

Mailing address

11 Friends LN
Suite A159
Newtown, PA 18940-1885
Phone (215) 860-9660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121019000139 PA Part B Supplier - Clinic/Group Practice 0446400907 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown, PA

National Provider Directory

National Provider Directory

Locations

11 Friends Ln
Ste A159
Newtown, PA 18940
Phone (215) 860-9660

121 Friends Ln
Ste 100
Newtown, PA 18940
Phone (215) 860-9660

11 Friends Ln
Ste 111
Newtown, PA 18940
Phone (215) 860-9660

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1902091804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN",
            "address_2": "SUITE A159",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401885",
            "telephone_number": "215-860-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN",
            "address_2": "SUITE A159",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401885",
            "telephone_number": "215-860-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKEFIELD CHIROPRACTIC CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "SANGIORGIO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "215-860-9660",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC-005434-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.