Organization Active NPI

Cestaro Chiropractic PC

  • Chiropractor
  • Cicero, NY
National Provider Identifier
1184954968
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011326-1 Issued in NY
Legal business name
CESTARO CHIROPRACTIC PC
Practice address
5620 Business Ave
Suite 9
Cicero, NY 13039-9576
Phone
(315) 458-0840
Fax
(315) 458-0777
NPI assigned
Dec 30, 2009
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Nicole CestaroNPI 1598852121
Title
President/Owner
Phone
(315) 458-0840

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 X011326-1 NY Primary

Addresses

Primary practice location

5620 Business Ave
Suite 9
Cicero, NY 13039-9576

Mailing address

5620 Business Ave
Suite 9
Cicero, NY 13039-9576
Phone (315) 458-0840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100622000583 NY Part B Supplier - Clinic/Group Practice 7315078292 Receives reassigned benefits from 2 practitioners
Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory

Locations

5620 Business Ave
Ste 7
Cicero, NY 13039
Phone (315) 458-0840

5620 Business Ave
Ste 9
Cicero, NY 13039
Phone (315) 458-0840

5620 Business Ave
Ste G7
Cicero, NY 13039
Phone (315) 458-0840

5630 Bear Rd
Syracuse, NY 13212
Phone (315) 458-0840

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1184954968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 BUSINESS AVE",
            "address_2": "SUITE 9",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399576",
            "telephone_number": "315-458-0840",
            "fax_number": "315-458-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 BUSINESS AVE",
            "address_2": "SUITE 9",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399576",
            "telephone_number": "315-458-0840",
            "fax_number": "315-458-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESTARO CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "CESTARO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "315-458-0840"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011326-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.