Mark John Delcalzo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00415900 Issued in NJ

Practice address

75 NJ Route 17 South
Hasbrouk Heights, NJ 07604

Phone

(201) 360-7878

NPI assigned

Jan 13, 2007

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

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Delcalzo Spine and Wellness Center

  • Rehabilitation Chiropractor
  • Hasbrouck Heights, NJ
  • NPI 1164991865
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1952452443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 BOURNE CIR",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191282",
            "telephone_number": "201-360-7878",
            "fax_number": "201-229-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NJ ROUTE 17 SOUTH",
            "city": "HASBROUK HEIGHTS",
            "state": "NJ",
            "postal_code": "07604",
            "telephone_number": "201-360-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 Boulevard Ste C",
            "address_purpose": "LOCATION",
            "city": "Hasbrouck Heights",
            "state": "NJ",
            "postal_code": "076041301",
            "country_code": "US",
            "telephone_number": "201-360-7878",
            "fax_number": "201-229-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELCALZO",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00415900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.