Active NPI
Cooper Sciascia DC LLC
- Chiropractor
- Staten Island, NY
National Provider Identifier
1114668084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COOPER SCIASCIA DC LLC
- Practice address
- 1313 Clove Rd
Staten Island, NY 10301-4338 - Phone
- (718) 448-0687
- Fax
- (718) 448-3463
- NPI assigned
- Apr 5, 2022
- 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. Cooper John Sciascia, D.C.
- Title
- Owner
- Phone
- (908) 577-7185
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1313 Clove Rd
Staten Island, NY 10301-4338
Mailing address
1313 Clove Rd
Staten Island, NY 10301-4338
Phone (718) 448-0687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
116 Miln St
Cranford, NJ 07016
Phone (908) 577-7185
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": "1649116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1114668084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103014338",
"telephone_number": "718-448-0687",
"fax_number": "718-448-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103014338",
"telephone_number": "718-448-0687",
"fax_number": "718-448-3463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPER SCIASCIA DC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "SCIASCIA",
"authorized_official_first_name": "COOPER",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-577-7185",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.