Active NPI
Michael Thomas Fucci, DC
- Chiropractor
- Plainview, NY
National Provider Identifier
1003561036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X013539
- Practice address
- 146A Manetto Hill Rd Ste 106
Plainview, NY 11803-1323 - Phone
- (516) 390-8770
- NPI assigned
- Feb 17, 2022
- Last updated
- May 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X013539 | NY | Primary |
Addresses
Primary practice location
146A Manetto Hill Rd Ste 106
Plainview, NY 11803-1323
Mailing address
90 Cedar Dr W
Plainview, NY 11803-2824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X013539 | NY | MD | Chiropractor |
| 013539 | NY | MD | Massage Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1003561036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 CEDAR DR W",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146A MANETTO HILL RD STE 106",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031323",
"telephone_number": "516-390-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCCI",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-17",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X013539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.