Citywide Chiropractic LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

CITYWIDE CHIROPRACTIC LLC

Practice address

7028 Terminal SQ
Upper Darby, PA 19082-2341

Phone

(215) 469-5000

Fax

(215) 469-5001

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By 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. Philip Anthony Dibartolo, DCNPI 1477654622

Title

Sole Member

Phone

(215) 469-5000

Specialties & licenses 1

Addresses

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.

• Philip Anthony Dibartolo, D.C.

  • Chiropractor
  • Egg Harbor TWP, NJ
  • NPI 1477654622
  NPD Authorized official

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1922561257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DORATO DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082347504",
            "telephone_number": "609-335-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7028 TERMINAL SQ",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822341",
            "telephone_number": "215-469-5000",
            "fax_number": "215-469-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "DIBARTOLO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "215-469-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.