Steven Michael Realdine Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0011087 Issued in DE

Practice address

3301 Ryan Ave
Philadelphia, PA 19136-4301

Phone

(215) 332-8686

NPI assigned

Jul 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marini Chiropractic & Education PC

  • Clinic/Center
  • King of Prussia, PA
  • NPI 1356478572
  NPD
• Mayfair Family Chiropractic Center Inc.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1770149452
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1922734656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 RYAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191364301",
            "telephone_number": "215-332-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 RYAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191364301",
            "telephone_number": "215-332-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALDINE",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0011087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara J Reale, CNM
• Kathleen Reale
• Martin Francis Reale, DPM
• Ronald Realer, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.