Active NPI
Pauline M Canelias, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1114015591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X00581301
- Practice address
- 15 E 40TH St
Suite 201
New York, NY 10016-0401 - Phone
- (212) 986-4339
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X00581301 | NY | Primary |
| Chiropractor | 111N00000X | CH1499 | MA |
Addresses
Primary practice location
15 E 40TH St
Suite 201
New York, NY 10016-0401
Mailing address
15 E 40TH St
Suite 201
New York, NY 10016-0401
Phone (212) 986-4339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO58133B | Other | NY | WORKERS' COMP BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315001399 | NY | Practitioner - Chiropractic | 0345546545 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
334 E 74TH St
Apt 1E
New York, NY 10021-9402
Phone (212) 986-4339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH1499 | MA | MD | Chiropractor |
| X00581301 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1114015591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E 40TH ST",
"address_2": "SUITE 201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160401",
"telephone_number": "212-986-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E 40TH ST",
"address_2": "SUITE 201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160401",
"telephone_number": "212-986-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANELIAS",
"first_name": "PAULINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X00581301",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "CH1499",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMP BOARD",
"identifier": "CO58133B",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.