Organization Active NPI

Fusion Chiropractic Care PC

  • Chiropractor
  • West Babylon, NY
National Provider Identifier
1003410937
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FUSION CHIROPRACTIC CARE PC
Practice address
1026 Little East Neck Rd
West Babylon, NY 11704-2411
Phone
(631) 560-4548
Fax
(631) 983-6585
NPI assigned
Nov 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald Anthony Chiappetta, DCNPI 1073539789
Title
Owner
Phone
(631) 560-4548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1026 Little East Neck Rd
West Babylon, NY 11704-2411

Mailing address

1026 Little East Neck Rd
West Babylon, NY 11704-2411
Phone (631) 560-4548

Other identifiers 1

IdentifierTypeStateIssuer
008458OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205000547 NY Part B Supplier - Clinic/Group Practice 6608280417 Receives reassigned benefits from 1 practitioner
Practice locations: West Babylon, NY

National Provider Directory

National Provider Directory

Locations

1026 Little East Neck Rd
West Babylon, NY 11704
Phone (516) 458-8567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606003200000",
    "number": "1003410937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 LITTLE EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117042411",
            "telephone_number": "631-560-4548",
            "fax_number": "631-983-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 LITTLE EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117042411",
            "telephone_number": "631-560-4548",
            "fax_number": "631-983-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION CHIROPRACTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A",
        "authorized_official_last_name": "CHIAPPETTA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-560-4548",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "008458",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.