Disston Chiropractic & Rehabilitation

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC007523L Issued in PA

Legal business name

DISSTON CHIROPRACTIC & REHABILITATION

Practice address

6932 Torresdale Ave
Philadelphia, PA 19135-1906

Phone

(215) 338-8840

Fax

(215) 338-8841

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward A. Genovesi, D.CNPI 1891813259

Title

Doctor of Chiropractor

Phone

(212) 338-8840

Specialties & licenses 1

Addresses

Other names 1

• Northeast Rehab & Chiropractic Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward A. Genovesi, D.C.

  • Rehabilitation Chiropractor
  • Philadelphia, PA
  • NPI 1891813259
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912025875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 TORRESDALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351906",
            "telephone_number": "215-338-8840",
            "fax_number": "215-338-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 TORRESDALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351906",
            "telephone_number": "215-338-8840",
            "fax_number": "215-338-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISSTON CHIROPRACTIC & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENOVESI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTOR",
        "authorized_official_telephone_number": "212-338-8840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC007523L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Rehab & Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dina Disney, OTR/L
• Livia Serena Dispenza
• Alexis Dispenziere
• Nathaniel Peter Disser, MD
• Jonathan Dissin, MD
• Katherine Disston, CRNP
• Distar Inc.
• Molly Spencer Distefano, LICSW
• Nicholas Distefano, PHARMD
• Distinct Home Health Care, LLC.

• Rehabilitation Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.