Individual provider Active NPI

Veronica Ann Wicks, D.C.

  • Chiropractor
  • Levittown, NY
National Provider Identifier
1013081538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005804-2 Issued in NY
Practice address
70 Division Ave
Levittown, NY 11756-2941
Phone
(151) 679-6480
Fax
(151) 679-3696
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005804-2 NY Primary

Addresses

Primary practice location

70 Division Ave
Levittown, NY 11756-2941

Mailing address

70 Division Ave
Levittown, NY 11756-2941
Phone (151) 679-6480

Other identifiers 1

IdentifierTypeStateIssuer
XOO5804-2OtherNYD.C. LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000650 NY Practitioner - Chiropractic 1557540481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast College of Health SciencesGroup PAC ID 3779474549, 11 clinicians

Practice addresses (Care Compare)

70 Division Ave
Levittown, NY 11756-2941
Phone (516) 796-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005804-2NYMDChiropractor
005804NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast College of Health Sciences Chiropractor Current Accepting new patients
Northeast College of Health Sciences Chiropractor CurrentSince Sep 5, 1989 Accepting new patients
New York Neurology and Medical Services P.C Past Accepting new patients

Locations

70 Division Ave
Levittown, NY 11756
Phone (516) 796-3696

2360 State Route 89
Seneca Falls, NY 13148
Phone (315) 568-3000

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

Organizations & group practices 3

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013081538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DIVISION AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562941",
            "telephone_number": "151-679-6480",
            "fax_number": "151-679-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DIVISION AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562941",
            "telephone_number": "151-679-6480",
            "fax_number": "151-679-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "VERONICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005804-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.C. LICENSE",
            "identifier": "XOO5804-2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.