Anthony Stephen Mandracchia, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009001 Issued in NY

Practice address

6659 Amboy Rd
Staten Island, NY 10309-3125

Phone

(718) 605-2225

Fax

(718) 966-5630

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anfex Inc

  • Oxygen Equipment & Supplies (DME)
  • Brooklyn, NY
  • NPI 1891855342
  NPD

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1154428779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093125",
            "telephone_number": "718-605-2225",
            "fax_number": "718-966-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093125",
            "telephone_number": "718-605-2225",
            "fax_number": "718-966-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDRACCHIA",
        "first_name": "ANTHONY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02044728",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2032523",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X1024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Mandel
• Taryn Felise Mandel
• Leah Lisa Mandelbaum, LCSW
• Barry Mandell, D.D.S.
• Gurpreet Kaur Mander, OTR/L
• Christina Mandry
• Bruno Manduca, M.D.
• Alexandra Frances Manetta
• Eric Manevich, LICENSED OPTICIAN
• Gabrielle Nicole Manfredi, OTR/L

• Chiropractor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.