Individual provider Active NPI

Joseph Merckling, D.C.

  • Chiropractor
  • Bellport, NY
National Provider Identifier
1033200563
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010618 Issued in NY
Practice address
16 Station Rd Ste 2
Bellport, NY 11713-2449
Phone
(631) 286-2300
Fax
(631) 286-4615
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010618 NY Primary

Addresses

Primary practice location

16 Station Rd Ste 2
Bellport, NY 11713-2449

Mailing address

3 Christine LN
Yaphank, NY 11980-1207
Phone (631) 766-5322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000649 NY Practitioner - Chiropractic 3375540123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Station Rd
Suite 2
Bellport, NY 11713-2449
Phone (631) 286-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010618NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Merckling Family Chiropractic P.C. Chiropractor CurrentSince Sep 15, 2006 Accepting new patients
Bastien Medical, PLLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

16 Station Rd
Ste 2
Bellport, NY 11713
Phone (516) 946-0176

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1033200563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHRISTINE LN",
            "city": "YAPHANK",
            "state": "NY",
            "postal_code": "119801207",
            "telephone_number": "631-766-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STATION RD STE 2",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132449",
            "telephone_number": "631-286-2300",
            "fax_number": "631-286-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCKLING",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.