Individual provider Active NPI

Charles A Scarpulla, D.C

  • Sports Physician Chiropractor
  • Orangeburg, NY
National Provider Identifier
1134229537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X010012-1 Issued in NY
Practice address
516 Route 303
Suite 3
Orangeburg, NY 10962-1309
Phone
(845) 398-7771
Fax
(845) 398-7777
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X X010012-1 NY Primary

Addresses

Primary practice location

516 Route 303
Suite 3
Orangeburg, NY 10962-1309

Mailing address

516 Route 303
Suite 3
Orangeburg, NY 10962-1309
Phone (845) 398-7771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000173 NY Practitioner - Chiropractic 4587664891 Practice locations: Blauvelt, NY; Orangeburg, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

516 Route 303
Suite 3
Orangeburg, NY 10962-1309
Phone (845) 398-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010012-1NYMDSports Physician Chiropractor
010012NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Family Chiropractic, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134229537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 ROUTE 303",
            "address_2": "SUITE 3",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621309",
            "telephone_number": "845-398-7771",
            "fax_number": "845-398-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ROUTE 303",
            "address_2": "SUITE 3",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621309",
            "telephone_number": "845-398-7771",
            "fax_number": "845-398-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPULLA",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X010012-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, 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.

Verify at the official NPI Registry.