Active NPI
Deanna Mercedes Vallejo, DC
- Chiropractor
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013500
- Practice address
- 80 5TH Ave RM 1205
New York, NY 10011-8016 - Phone
- (212) 924-2121
- NPI assigned
- Aug 24, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 013500 | NY | Primary |
Addresses
Primary practice location
80 5TH Ave RM 1205
New York, NY 10011-8016
Mailing address
817 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6314
Phone (845) 352-7166
Other practice location 1
817 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6314
Phone (845) 352-7166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32 Philips Pkwy
Montvale, NJ 07645-1811
Phone (201) 746-6577
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen F. Oswald, D.C., P.C. | Chiropractor | Current | Accepting new patients |
| Spine and Health Center of Closter PC | Chiropractor | Current | Accepting new patients |
| The Spine and Health Center of Montvale | Chiropractor | Current | Accepting new patients |
Locations
31 Ver Valen St
Closter, NJ 07624
Phone (201) 784-2700
32 Philips Pkwy
Montvale, NJ 07645
Phone (201) 494-4479
2 S Kinderkamack Rd
Ste 208
Montvale, NJ 07645
Phone (201) 746-6577
817 Chestnut Ridge Rd
Chestnut Ridge, NY 10977
Phone (845) 352-7166
80 5th Ave
Rm 1205
New York, NY 10011
Phone (212) 924-2121
Organizations & group practices 3
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.
-
- Chiropractor
- Montvale, NJ
- NPI 1205085024
-
- Chiropractor
- Chestnut Ridge, NY
- NPI 1235328329
-
- Chiropractor
- Closter, NJ
- NPI 1497291728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1154098549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 CHESTNUT RIDGE RD",
"city": "CHESTNUT RIDGE",
"state": "NY",
"postal_code": "109776314",
"telephone_number": "845-352-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 5TH AVE RM 1205",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118016",
"telephone_number": "212-924-2121"
}
],
"practiceLocations": [
{
"address_1": "817 Chestnut Ridge Rd",
"address_purpose": "LOCATION",
"city": "Chestnut Ridge",
"state": "NY",
"postal_code": "109776314",
"country_code": "US",
"telephone_number": "845-352-7166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLEJO",
"first_name": "DEANNA",
"middle_name": "MERCEDES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "013500",
"primary": true
}
],
"identifiers": [],
"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 Aug 24, 2021; 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.