Individual provider Active NPI

John Frank Marullo, DC

  • Chiropractor
  • Parlin, NJ
National Provider Identifier
1942254073
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC005814 Issued in NJ
Practice address
2909 Washington Rd
Parlin, NJ 08859-1513
Phone
(732) 727-5502
Fax
(732) 727-5503
NPI assigned
May 22, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC005814 NJ Primary

Addresses

Primary practice location

2909 Washington Rd
Parlin, NJ 08859-1513

Mailing address

2909 Washington Rd
Parlin, NJ 08859-1513
Phone (732) 727-5502

Other identifiers 1

IdentifierTypeStateIssuer
046397XE1OtherNJPHYSICIAN RENDERING #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000562 NJ Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3072607290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

262 John St
South Amboy, NJ 08879-1742
Phone (732) 613-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC005814NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Body Wellness & Rehabilitation LLC Chiropractor CurrentSince Jun 11, 2007 Accepting new patients
South Amboy Chiropractic Center LLC Chiropractor PastSince Aug 22, 2007 Accepting new patients
Advanced DME Services LLC PastSince Oct 3, 2007 Accepting new patients

Locations

2909 Washington Rd
Parlin, NJ 08859
Phone (732) 525-0834

2909 Washington Rd
Bldg 175
Parlin, NJ 08859
Phone (732) 727-5502

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1942254073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591513",
            "telephone_number": "732-727-5502",
            "fax_number": "732-727-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591513",
            "telephone_number": "732-727-5502",
            "fax_number": "732-727-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARULLO",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN RENDERING #",
            "identifier": "046397XE1",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

Verify at the official NPI Registry.