Active NPI
Anne Marie Fitzpatrick, D.C.
- Chiropractor
- Staten Island, NY
National Provider Identifier
1043367774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007425-1
- Practice address
- 2156 Victory Blvd
Staten Island, NY 10314-6626 - Phone
- (718) 983-7701
- Fax
- (718) 983-7009
- NPI assigned
- Jan 4, 2007
- 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 | X007425-1 | NY | Primary |
Addresses
Primary practice location
2156 Victory Blvd
Staten Island, NY 10314-6626
Mailing address
2156 Victory Blvd
Staten Island, NY 10314-6626
Phone (718) 983-7701
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P641004 | Other | NY | OXFORD |
| 4511275 | Other | NY | AETNA PPO |
| 5803072 | Other | NY | GHI |
| 600236 | Other | NY | ACN |
| 0489726 | Other | NY | AETNA HMO |
| CO7425-4 | Other | NY | WORKERS COMPENSATION |
| X1006 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007425-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Spinal Correction Chiropractic PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Staten Island, NY
- NPI 1790439628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043367774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2156 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146626",
"telephone_number": "718-983-7701",
"fax_number": "718-983-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2156 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146626",
"telephone_number": "718-983-7701",
"fax_number": "718-983-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007425-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P641004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4511275",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5803072",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "600236",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0489726",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "CO7425-4",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "X1006",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.