East Bay Chiropractic Wellnes PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EAST BAY CHIROPRACTIC WELLNES PC

Practice address

2473 Merrick Rd
Bellmore, NY 11710

Phone

(516) 679-2225

Fax

(516) 765-3957

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Martin Charles Marmorale, DCNPI 1144361312

Title

Employer

Phone

(516) 679-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Charles Marmorale, D.C.

  • Chiropractor
  • Bellmore, NY
  • NPI 1144361312
  Medicare reassignment NPD Authorized official
• Victoria Patricia Dunne, LMT

  • Massage Therapist
  • Rockville Center, NY
  • NPI 1043842180

  Single Specialty

  NPD (past)
• Russell J Poker, PT

  • Physical Therapist
  • Great Neck, NY
  • NPI 1669544797
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1174015127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105705",
            "telephone_number": "516-679-2225",
            "fax_number": "516-765-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "11710",
            "telephone_number": "516-679-2225",
            "fax_number": "516-765-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY CHIROPRACTIC WELLNES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MARMORALE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "516-679-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey E Duke, LAC
• Beatriz Elena Duque
• Nikolina Dusi
• Fiona Eapen, RPA-C
• Early Prime Services Inc.
• Eastbay Medical PC
• Ec Medical PLLC
• Ei Kid Unlimited N.B.S. Corp
• Jeffrey Eiskowitz
• Maria Eleftheriou

• Chiropractor in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.

Verify at the official NPI Registry.