Individual provider Active NPI

Anthony Pirraglia III, D.C.

  • Chiropractor
  • New Windsor, NY
National Provider Identifier
1104024967
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006932-1 Issued in NY
Practice address
815 Blooming Grove Tpke
Ste 300
New Windsor, NY 12553-8140
Phone
(845) 569-1100
Fax
(845) 569-1118
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006932-1 NY Primary

Addresses

Primary practice location

815 Blooming Grove Tpke
Ste 300
New Windsor, NY 12553-8140

Mailing address

815 Blooming Grove Tpke
Ste 300
New Windsor, NY 12553-8140
Phone (845) 569-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000106 NY Practitioner - Chiropractic 1850566944 Practice locations: New Windsor, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

815 Blooming Grove Tpke
Suite 300
New Windsor, NY 12553-8140
Phone (845) 569-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006932-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1104024967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BLOOMING GROVE TPKE",
            "address_2": "STE 300",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538140",
            "telephone_number": "845-569-1100",
            "fax_number": "845-569-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BLOOMING GROVE TPKE",
            "address_2": "STE 300",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538140",
            "telephone_number": "845-569-1100",
            "fax_number": "845-569-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRAGLIA",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006932-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.