Active NPI
Mary Ridge, D.C.
- Chiropractor
- Mohegan Lake, NY
National Provider Identifier
1013000835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008106
- Practice address
- 1881 E Main St
Mohegan Lake, NY 10547-1249 - Phone
- (914) 528-8889
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- 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 | X008106 | NY | Primary |
Addresses
Primary practice location
1881 E Main St
Mohegan Lake, NY 10547-1249
Mailing address
1881 E Main St
Mohegan Lake, NY 10547-1249
Phone (914) 528-8889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110427000714 | NY | Practitioner - Chiropractic | 0648455170 | Practice locations: Mohegan Lake, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1881 E Main St
Mohegan Lake, NY 10547-1249
Phone (914) 528-8889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008106 | NY | MD | Chiropractor |
Networks
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1013000835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 E MAIN ST",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471249",
"telephone_number": "914-528-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 E MAIN ST",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471249",
"telephone_number": "914-528-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGE",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mohegan Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.