Organization Active NPI

Bila-Cassidy Chiropractic, PLLC

  • Chiropractor
  • Franklin Square, NY
National Provider Identifier
1184066813
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X7405 Issued in NY
Legal business name
BILA-CASSIDY CHIROPRACTIC, PLLC
Practice address
938 Roosevelt St
Franklin Square, NY 11010-2938
Phone
(516) 358-0500
Fax
(516) 358-0501
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Stacy Bila-Cassidy, DCNPI 1528168556
Title
Member
Phone
(516) 358-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X7405 NY Primary

Addresses

Primary practice location

938 Roosevelt St
Franklin Square, NY 11010-2938

Mailing address

938 Roosevelt St
Franklin Square, NY 11010-2938
Phone (516) 358-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823000718 NY Part B Supplier - Clinic/Group Practice 9234372277 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin Square, NY

National Provider Directory

National Provider Directory

Locations

938 Roosevelt St
Franklin Square, NY 11010
Phone (256) 694-2370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1184066813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 ROOSEVELT ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102938",
            "telephone_number": "516-358-0500",
            "fax_number": "516-358-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 ROOSEVELT ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102938",
            "telephone_number": "516-358-0500",
            "fax_number": "516-358-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILA-CASSIDY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "BILA-CASSIDY",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-358-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X7405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.