Individual provider Active NPI

Mark A Scelza, D.C.

  • Chiropractor
  • Commack, NY
National Provider Identifier
1043637457
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010516 Issued in NY
Practice address
6268 Jericho Tpke
Suite 6
Commack, NY 11725-2810
Phone
(631) 499-6944
Fax
(631) 499-6951
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010516 NY Primary

Addresses

Primary practice location

6268 Jericho Tpke
Suite 6
Commack, NY 11725-2810

Mailing address

6268 Jericho Tpke
Suite 6
Commack, NY 11725-2810
Phone (631) 499-6944

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

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1043637457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 6",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-499-6944",
            "fax_number": "631-499-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 6",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-499-6944",
            "fax_number": "631-499-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCELZA",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.