Individual provider Active NPI

Michael Cocilovo, D.C.

  • Chiropractor
  • New City, NY
National Provider Identifier
1003945858
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004589 Issued in NY
Practice address
490 Route 304
New City, NY 10956-3040
Phone
(845) 634-8877
Fax
(845) 634-0783
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004589 NY Primary

Addresses

Primary practice location

490 Route 304
New City, NY 10956-3040

Mailing address

264 Robertson Way
Lincoln Park, NJ 07035-1858
Phone (973) 489-2949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000593 NY Practitioner - Chiropractic 1850353269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Kayal Orthopaedic, PLLCGroup PAC ID 7911385950, 16 clinicians

Practice addresses (Care Compare)

16 Squadron Blvd
Suite 102
New City, NY 10956-5268
Phone (845) 942-4355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004589NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fall Prevention Care & Associates Inc CurrentSince Nov 2, 2007 Accepting new patients
Fall Prevention Care & Associates Inc. Current Accepting new patients
Kayal Orthopaedic, PLLC Chiropractor CurrentSince May 18, 2024 Accepting new patients
North Jersey Chiropractic Rehabilitation Center, LLC Chiropractor PastSince Jan 19, 2011 Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients
Kayal Medical Group, LLC Chiropractor PastSince Jan 1, 2022 Accepting new patients

Locations

20 Squadron Blvd
Ste 580
New City, NY 10956
Phone (845) 634-8877

16 Squadron Blvd
Ste 102
New City, NY 10956
Phone (845) 634-2225

490 Route 304
New City, NY 10956
Phone (845) 507-0477

11 Holt Dr
Stony Point, NY 10980
Phone (845) 942-4355

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHDDCD/Endpoint/CHDDCD
  • Direct secure messaging: michael.cocilovo@ko.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1003945858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 ROBERTSON WAY",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351858",
            "telephone_number": "973-489-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ROUTE 304",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563040",
            "telephone_number": "845-634-8877",
            "fax_number": "845-634-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCILOVO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "004589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.