Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Russell Pandolfo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376365320

Dr. John Russell Pandolfo is a Chiropractic in Drexel Hill, Pennsylvania. Graduated from New York Chiropractic College in 2024, 2 years ago. Practices with Southern Pines Chiropractic PA, a 2-clinician group. Licensed in Pennsylvania.

Years since qualifying
2
Trained at
New York Chiropractic College
Licensed in
PA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3407 Garrett Rd
Drexel Hill, PA 19026-2336
Phone: (610) 622-4888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC012004 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376365320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 2024 (2 years in practice)
Group practice Southern Pines Chiropractic Pa — 2 clinicians
Accepts Medicare assignment Not indicated

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