Organization Active NPI

Malverne Chiropractic Office, PLLC

  • Chiropractor
  • Malverne, NY
National Provider Identifier
1053533448
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X2805 Issued in NY
Legal business name
MALVERNE CHIROPRACTIC OFFICE, PLLC
Practice address
4 Weber Avenue
Malverne, NY 11565
Phone
(516) 599-3999
Fax
(516) 887-8106
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Ronald Michelli, D.C.NPI 1225188402
Title
Owner
Phone
(516) 599-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X2805 NY Primary

Addresses

Primary practice location

4 Weber Avenue
Malverne, NY 11565

Mailing address

4 Weber Avenue
Malverne, NY 11565
Phone (516) 599-3999

Other identifiers 1

IdentifierTypeStateIssuer
XFWPX1OtherNYMEDICARE PTAN#

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1053533448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEBER AVENUE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "11565",
            "telephone_number": "516-599-3999",
            "fax_number": "516-887-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEBER AVENUE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "11565",
            "telephone_number": "516-599-3999",
            "fax_number": "516-887-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALVERNE CHIROPRACTIC OFFICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "MICHELLI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-599-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN#",
            "identifier": "XFWPX1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.