Active NPI
Gary A Maggio, DC
- Chiropractor
- Bayport, NY
National Provider Identifier
1003810433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X-002296
- Practice address
- 671 Montauk Hwy
Ste a
Bayport, NY 11705-1607 - Phone
- (631) 472-3535
- Fax
- (631) 472-8221
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | X-002296 | NY | Primary |
Addresses
Primary practice location
671 Montauk Hwy
Ste a
Bayport, NY 11705-1607
Mailing address
671 Montauk Hwy
Ste a
Bayport, NY 11705-1607
Phone (631) 472-3535
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112504440 | Other | NY | EMPIRE |
| X8X13 | Other | NY | EMPIRE BLUE CROSS |
| 10191 | Other | NY | VYTRA |
| 1518 | Other | NY | ACCESS |
| 457024 | Other | NY | US HEALTHCARE |
| 8570800 | Other | NY | CIGNA |
| P463321 | Other | NY | OXFORD |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-002296 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1003810433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 MONTAUK HWY",
"address_2": "STE A",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117051607",
"telephone_number": "631-472-3535",
"fax_number": "631-472-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 MONTAUK HWY",
"address_2": "STE A",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117051607",
"telephone_number": "631-472-3535",
"fax_number": "631-472-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIO",
"first_name": "GARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X-002296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "112504440",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "X8X13",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "10191",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCESS",
"identifier": "1518",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "457024",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8570800",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P463321",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.