MEDICARE: SCORDILIS FAMILY CHIROPRACTIC, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	38MC00175000	NJ

General Provider Information

NPI Number	:	1386704559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCORDILIS FAMILY CHIROPRACTIC, PA

Provider Business Mailing Address
First Line	:	300 BROADACRES DR STE 126
Second Line	:
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003-3153
Country	:	US
Telephone Number	:	973-473-4481
Fax Number	:	973-473-8852

Provider Business Practice Location Address
First Line	:	300 BROADACRES DR STE 126
Second Line	:
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003-3153
Country	:	US
Telephone Number	:	973-473-4481
Fax Number	:	973-473-8852

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GEORGE C SCORDILIS
Credential	:	DC
Telephone Number	:	973-473-4481

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	06/08/2022

Similar Medicare Providers

1891795514 — JOSEPH J LICITRA DC
Practice Location Address:

300 BROADACRES DR STE 126
BLOOMFIELD, NJ
07003-3153

Practice Phone: 973-470-0632
Practice Fax: 973-893-8259

1043318785 — DR. PETER J SCORDILIS DC
Practice Location Address:

300 BROADACRES DR
BLOOMFIELD, NJ
07003-3153

Practice Phone: 973-473-4481
Practice Fax: 973-893-8259

1881950269 — GERALDA GELUS-JULES
Practice Location Address:

300 BROADACRES DR
BLOOMFIELD, NJ
07003-3153

Practice Phone: 862-314-7030
Practice Fax: 732-647-1133

1902520109 — JOSEPH LICITRA DC LLC
Practice Location Address:

300 BROADACRES DR STE 126A
BLOOMFIELD, NJ
07003-3153

Practice Phone: 973-470-0632
Practice Fax: 973-893-8259

1194410126 — MARY CORTESE
Practice Location Address:

300 BROADACRES DR
BLOOMFIELD, NJ
07003-3153

Practice Phone: 201-371-6309
Practice Fax:

1023895042 — SUELA LITA
Practice Location Address:

300 BROADACRES DR
BLOOMFIELD, NJ
07003-3153

Practice Phone: 862-314-7030
Practice Fax:

Directions to “SCORDILIS FAMILY CHIROPRACTIC, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.