Provider Demographics
NPI:1922280866
Name:DR. PHILIP DELLI SANTI, P.C.
Entity Type:Organization
Organization Name:DR. PHILIP DELLI SANTI, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLI SANTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-522-8989
Mailing Address - Street 1:447 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2615
Mailing Address - Country:US
Mailing Address - Phone:908-522-8989
Mailing Address - Fax:908-522-1211
Practice Address - Street 1:447 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2615
Practice Address - Country:US
Practice Address - Phone:908-522-8989
Practice Address - Fax:908-522-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00193900111N00000X
NJ38MC00642500111N00000X
NJ38MC00313000111N00000X
NJ40QA01007300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT45505Medicare UPIN