Active NPI
Ronald Spinelle, DOC
- Rehabilitation Chiropractor
- Selden, NY
National Provider Identifier
1124184387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- X007048-1
- Practice address
- 636 Middle Country Rd
Selden, NY 11784-2500 - Phone
- (631) 736-4414
- NPI assigned
- Dec 29, 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | X007048-1 | NY | Primary |
Addresses
Primary practice location
636 Middle Country Rd
Selden, NY 11784-2500
Mailing address
5 Lee CT
Lake Grove, NY 11755-2205
Phone (631) 737-2014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO7048 | Other | NY | WORKER'S COMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
994 W Jericho Tpke
Suite 104
Smithtown, NY 11787-3211
Phone (631) 543-1440
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.89 of 100
- Quality
- 87.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007048 | NY | MD | Psychologist |
| X007048-1 | NY | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy D. Groth MD PC | Current | Accepting new patients | |
| Borrie Psychological PC | Past | Accepting new patients |
Locations
994 W Jericho Tpke
Ste 104
Smithtown, NY 11787
Phone (516) 400-3595
Interoperability endpoints
- ronaldspinelle_36115@timothygrothmdpc.omnimddirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Smithtown, NY
- NPI 1720022015
-
- Counseling Psychologist
- Setauket, NY
- NPI 1013047927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124184387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LEE CT",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552205",
"telephone_number": "631-737-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 MIDDLE COUNTRY RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842500",
"telephone_number": "631-736-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINELLE",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "DOC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NY",
"license": "X007048-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "CO7048",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selden, 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.