Active NPIIndividual providerSole proprietor

Dr. John R Delisi, DC

Chiropractor in Pomona, New York

NPI Number1902983885
Practice location
11 Medical Park Dr, Suite 104, Pomona, NY 10970-3559
Fax
845-354-4104
Last updated
October 5, 2010

John Robert Delisi is a Chiropractor based in Pomona, NY. John Robert Delisi practices in Pomona, NY and has the professional credentials of DC. The NPI Number for John Robert Delisi is 1902983885 and holds a License No. 38MC00173800 (NJ). The current practice location address for John Robert Delisi is 11 Medical Park Dr, Suite 104, Pomona, NY 10970-3559 and can be reached out via phone at 845-354-5180 and via fax at 845-354-4104.

Provider Profile Details

NPI Number
1902983885
Provider Name
John Robert Delisi
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
11 Medical Park Dr, Suite 104, Pomona, NY 10970-3559
Phone Number
845-354-5180
Fax Number
845-354-4104
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 31, 2006
Last Update Date
October 5, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Medical Park Dr
Suite 104
Pomona, NY 10970-3559
City
Pomona
Zip
10970-3559
Phone Number
845-354-5180
Fax Number
845-354-4104
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
25 Nansen CT
Spring Valley, NY 10977-3143
City
Spring Valley
State
NY
Zip
10977-3143
Phone Number
845-352-0362

License Information

License Number (1)
38MC00173800
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
X011091-1
License State (2)
NY
Taxonomy (2)
Chiropractor · 111N00000X · Primary
License Number (3)
12151
License State (3)
CA
Taxonomy (3)
Chiropractor · 111N00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John R Delisi, DC?

The NPI number of Dr. John R Delisi, DC is 1902983885. It was assigned on October 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John R Delisi, DC?

Dr. John R Delisi, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00173800.

Where does Dr. John R Delisi, DC practice?

The practice location is 11 Medical Park Dr, Suite 104, Pomona, NY 10970-3559. The office can be reached at 845-354-5180 (phone) or 845-354-4104 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902983885 directly on the NPPES registry website.

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