Active NPI
Malverne Chiropractic Office, PLLC
- Chiropractor
- Malverne, NY
National Provider Identifier
1053533448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X2805
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Michelli, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XFWPX1 | Other | NY | MEDICARE PTAN# |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Malverne, NY
- NPI 1225188402
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.