DR. JONATHAN ANDREW MALUCCI (NPI# 1629217450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629217450 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ANDREW MALUCCI |
| Credential | D.C. |
| Practice Address |
1335 W Tabor Rd Suite 304 Philadelphia PA 19141-3038 |
| Practice Telephone | 2154241220 |
| Practice Fax Number | 2154241550 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008430 | GA | Chiropractic Providers |
| Street Address |
1335 W TABOR RD SUITE 304 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334439 | Richard Rettig | Podiatrist | 1335 W Tabor Rd, Ste 206, Philadelphia, PA 19141-3040 | 2005-05-23 |
| 1487269262 | Pradeep Kumar Sure | Pharmacist | 1335 W Tabor Rd, Philadelphia, PA 19141-3038 | 2020-09-09 |
| 1306244843 | Affordable Dentistry of North Philadelphia | Dentist | 1335 W Tabor Rd, Philadelphia, PA 19141-3038 | 2014-12-16 |
| 1912242827 | Total Health and Rehab Pllc | Chiropractor | 1335 W Tabor Rd, Suite 305, Philadelphia, PA 19141-3038 | 2012-12-04 |
| 1760780175 | Chad Home Health Agency Inc | Home Health | 1335 W Tabor Rd, Suite 210, Philadelphia, PA 19141-3038 | 2011-03-09 |
| 1972838803 | Lady of Fatima Health Services Inc. | Home Health | 1335 W Tabor Rd, Suite 303, Philadelphia, PA 19141-3038 | 2009-10-09 |
| 1689817066 | Chiropractic Trauma & Rehabilitation Center, P.C. | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2009-04-14 |
| 1881837318 | Gino Zita | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2009-04-14 |
| 1043455736 | Todd Michael Levine | Chiropractor | 1335 W Tabor Rd, Suite 211, Philadelphia, PA 19141-3038 | 2008-12-09 |
| 1619121936 | Tabor Chiropractic &rehabilitation LLC | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2008-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| 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 |
|---|---|---|---|---|
| 1124628540 | Citywide North, PC | Chiropractor | 2304-a North Broad Street, Philadelphia, PA 19132-4563 | 2020-10-26 |
| 1598313488 | Dev Avinash Rajhansa | Chiropractor | 101 W Allens Ln, Philadelphia, PA 19119-4101 | 2019-09-03 |
| 1861059859 | Joshua James Kramarenko | Chiropractor | 1608 Walnut St Ste 601, Philadelphia, PA 19103-5447 | 2019-05-24 |
| 1306409024 | Danielle Louise Walsh | Chiropractor | 3500 Scotts Ln Ste 215, Philadelphia, PA 19129-1836 | 2019-04-18 |
| 1952868804 | Yoon Sang Song | Chiropractor | 6115 Woodland Ave, Philadelphia, PA 19142-2418 | 2019-02-27 |
| 1104381011 | Anthony James Havens Jr. | Chiropractor | 6006 Chestnut St Fl 1, Philadelphia, PA 19139-3044 | 2019-02-05 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1710467626 | Darin Mathew Daniel | Chiropractor | 2216 W Passyunk Ave, Philadelphia, PA 19145-3318 | 2018-08-20 |
| 1780184952 | Chelsea Ann Mclane | Chiropractor | 430 Green Ln, Philadelphia, PA 19128-3304 | 2018-02-14 |
| 1881193860 | Pa Pain and Rehab | Chiropractor | 6325 Woodland Avenue, Philadelphia, PA 19142 | 2018-02-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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| 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.