Individual provider Active NPI

Marisa Rachel Silver, DC

  • Rehabilitation Chiropractor
  • Syosset, NY
National Provider Identifier
1013099159
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
X010199 Issued in NY
Practice address
6800 Jericho Tpke
Suite 120W
Syosset, NY 11791-4436
Phone
(516) 393-5862
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X X010199 NY Primary

Addresses

Primary practice location

6800 Jericho Tpke
Suite 120W
Syosset, NY 11791-4436

Mailing address

6800 Jericho Tpke
Suite 120W
Syosset, NY 11791-4436
Phone (516) 393-5862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000562 NY Practitioner - Chiropractic 2860381613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

62 Bethpage Rd
Hicksville, NY 11801-1504
Phone (516) 584-2128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010199NYMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spine Chiropractic & Health PC CurrentSince Mar 1, 2005 Accepting new patients

Locations

62 Bethpage Rd
Hicksville, NY 11801
Phone (516) 584-2128

371 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 216-4437

6800 Jericho Tpke
Ste 120W
Syosset, NY 11791
Phone (516) 393-5810

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1013099159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE",
            "address_2": "SUITE 120W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914436",
            "telephone_number": "516-393-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE",
            "address_2": "SUITE 120W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914436",
            "telephone_number": "516-393-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "MARISA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X010199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.