Organization Active NPI

In Motion Chiropractic, P.C.

  • Chiropractor
  • Port Jefferson Station, NY
National Provider Identifier
1114363041
Registry record updated May 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009495 Issued in NY
Legal business name
IN MOTION CHIROPRACTIC, P.C.
Practice address
59 Dorothy St
Port Jefferson Station, NY 11776-1722
Phone
(888) 959-0712
Fax
(888) 959-0712
NPI assigned
May 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2013

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

Authorized official

Name
Dr. Darren Thomas Mollo, DCNPI 1255365821
Title
President
Phone
(631) 560-1105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009495 NY Primary

Addresses

Primary practice location

59 Dorothy St
Port Jefferson Station, NY 11776-1722

Mailing address

59 Dorothy St
Port Jefferson Station, NY 11776-1722
Phone (888) 959-0712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140623000046 NY Part B Supplier - Clinic/Group Practice 1052535606 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1305 Middle Country Rd
Ste 13
Selden, NY 11784
Phone (631) 560-1105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368921600000",
    "number": "1114363041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DOROTHY ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761722",
            "telephone_number": "888-959-0712",
            "fax_number": "888-959-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DOROTHY ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761722",
            "telephone_number": "888-959-0712",
            "fax_number": "888-959-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN MOTION CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-19",
        "last_updated": "2013-05-19",
        "status": "A",
        "authorized_official_last_name": "MOLLO",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-560-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.