Active NPI
Ricky Joseph Martino, DC
- Chiropractor
- Vails Gate, NY
National Provider Identifier
1194732065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005443-1
- Practice address
- 47 Old Temple Hill Rd
Vails Gate, NY 12584-0142 - Phone
- (845) 565-0606
- Fax
- (845) 569-8805
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 | X005443-1 | NY | Primary |
Addresses
Primary practice location
47 Old Temple Hill Rd
Vails Gate, NY 12584-0142
Mailing address
PO Box 142
Vails Gate, NY 12584-0142
Phone (845) 565-0606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005443-1 | NY | MD | Chiropractor |
| 005443 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ricky J. Martino, DC, PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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
- Vails Gate, NY
- NPI 1366623670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1194732065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142",
"city": "VAILS GATE",
"state": "NY",
"postal_code": "125840142",
"telephone_number": "845-565-0606",
"fax_number": "845-569-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 OLD TEMPLE HILL RD",
"city": "VAILS GATE",
"state": "NY",
"postal_code": "125840142",
"telephone_number": "845-565-0606",
"fax_number": "845-569-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "RICKY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005443-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vails Gate, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.