Active NPI
Anthony J Carrino, DC
- Chiropractor
- West Islip, NY
National Provider Identifier
1114008042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0059181
- Practice address
- 619 Montauk Hwy
West Islip, NY 11795 - Phone
- (631) 321-1850
- Fax
- (631) 321-1882
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | X0059181 | NY | Primary |
Addresses
Primary practice location
619 Montauk Hwy
West Islip, NY 11795
Mailing address
619 Montauk Hwy
West Islip, NY 11795
Phone (631) 321-1850
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SF0002361 | Other | NY | SELECT PRO |
| 0059031 | Other | NY | BHI |
| P429813 | Other | NY | OXFORD |
| 4215854 | Other | NY | AETNA |
| 100128031601 | Other | NY | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111116000927 | NY | Practitioner - Chiropractic | 4981878592 | Practice locations: West Islip, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
619 Montauk Hwy
West Islip, NY 11795
619 Montauk Hwy
West Islip, NY 11795-4408
Phone (631) 321-1850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0059181 | NY | MD | Chiropractor |
| 005918 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114008042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 MONTAUK HWY",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "11795",
"telephone_number": "631-321-1850",
"fax_number": "631-321-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 MONTAUK HWY",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "11795",
"telephone_number": "631-321-1850",
"fax_number": "631-321-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRINO",
"first_name": "ANTHONY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0059181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT PRO",
"identifier": "SF0002361",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHI",
"identifier": "0059031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P429813",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4215854",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "100128031601",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.