Individual provider Active NPI

Dylan J Delorenzo, D.C.

  • Chiropractor
  • Paramus, NJ
National Provider Identifier
1902103013
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00690800 Issued in NJ
Practice address
600 Winters Ave
Paramus, NJ 07652-3904
Phone
(201) 634-8755
Fax
(201) 634-1217
NPI assigned
Feb 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00690800 NJ Primary

Addresses

Primary practice location

600 Winters Ave
Paramus, NJ 07652-3904

Mailing address

PO Box 1828
Paramus, NJ 07653-1828
Phone (201) 634-8755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00690800NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1902103013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1828",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076531828",
            "telephone_number": "201-634-8755",
            "fax_number": "201-634-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WINTERS AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523904",
            "telephone_number": "201-634-8755",
            "fax_number": "201-634-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORENZO",
        "first_name": "DYLAN",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00690800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.