DR. MARC RONALD DESIDERIO (NPI# 1215084165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215084165 |
| Entity Type | Individual |
| Full Name | DR. MARC RONALD DESIDERIO |
| Credential | D.C. |
| Practice Address |
9 Leonardville Rd Middletown NJ 07748-2310 |
| Practice Telephone | 7326719005 |
| Practice Fax Number | 7326719006 |
| Mailing Telephone | 7326719005 |
| Mailing Fax Number | 7326719006 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00569900 | NJ | Chiropractic Providers |
| Street Address |
9 LEONARDVILLE RD |
| City | MIDDLETOWN |
| State | NJ |
| Zip Code | 07748-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295157956 | Natural Healthcare Center of Middletown, LLC | Acupuncturist | 9 Leonardville Rd, Middletown, NJ 07748-2360 | 2014-01-15 |
| 1164785333 | Marc R Desiderio, Dc, PC | Chiropractor | 9 Leonardville Rd, Middletown, NJ 07748-2360 | 2012-06-21 |
| 1376777912 | Sally Ann Gerges | Dentist | 9 Leonardville Rd, Middletown, NJ 07748-2360 | 2009-05-12 |
| 1972718203 | George William Scott | Dentist | 9 Leonardville Rd, Middletown, NJ 07748-2310 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872472 | Daniella Marie Siragusa | Pharmacist | 1200 Nj 35, Middletown, NJ 07748 | 2019-10-09 |
| 1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1780131284 | Jocelyn Elizabeth Marrone | Pharmacist | 1447 State Highway 35, Middletown, NJ 07748 | 2016-09-01 |
| 1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1295171379 | Taryn M Buffolino | Counselor | 41 Tall Tree Rd, Middletown, NJ 07748 | 2013-05-16 |
| 1477825925 | Min Jin Kim | Dentist | 2 Apple Farm Road, Middletown, NJ 07748 | 2012-01-30 |
| 1295018562 | Kavita Patel | Pharmacist | 271 Linden Avenue, North Middletown, NJ 07748 | 2011-09-23 |
| Find all providers in zip 07748 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902382906 | Pure Wellness of Middletown, LLC | Chiropractor | 708 Ash Blvd, Middletown, DE 19709-8871 | 2018-07-13 |
| 1801394804 | Chiropractic Wellness of Middletown, P.C. | Chiropractor | 201 Dolson Ave Ste H100, Middletown, NY 10940 | 2018-01-25 |
| 1083123079 | Gudrun Maria Thunman | Chiropractor | 145 Prospect Ave, Middletown, RI 02842-5605 | 2017-09-22 |
| 1306268214 | Elizabeth Tamminga | Chiropractor | 12334 Shelbyville Rd, Middletown, KY 40243-1471 | 2014-01-11 |
| 1063853331 | Zachary Patterson | Chiropractor | 400 Quincy Ave, Middletown, DE 19709-8367 | 2013-07-15 |
| 1912246216 | Jack R. Dugo, Jr., D.c., LLC | Chiropractor | 20 Cherry Tree Farm Rd, Middletown, NJ 07748-2251 | 2013-02-06 |
| 1386919520 | Robert W Grace | Chiropractor | 88 Valley Rd, Middletown, RI 02842-5237 | 2012-03-21 |
| 1588947790 | Logullo Chiropractic Wellness Center Pa | Chiropractor | 600 N Broad St Ste 19, Middletown, DE 19709-1032 | 2011-09-23 |
| 1790010403 | Laura K Cruz | Chiropractor | 19 Rondack Rd, Middletown, NY 10941-1622 | 2009-10-14 |
| 1184856668 | Middletown Chiropractic and Rehabilitation Center | Chiropractor | 2714 N Verity Pkwy, Middletown, OH 45042-2408 | 2009-08-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 07748 |
Please comment or provide details below to improve the information on DR. MARC RONALD DESIDERIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.