Jeffrey T Massarone, ND, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012201 Issued in NY

Practice address

39 Story LN
Clinton Corners, NY 12514-2824

Phone

(845) 417-1041

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1235361429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 STORY LN",
            "city": "CLINTON CORNERS",
            "state": "NY",
            "postal_code": "125142824",
            "telephone_number": "845-417-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 STORY LN",
            "city": "CLINTON CORNERS",
            "state": "NY",
            "postal_code": "125142824",
            "telephone_number": "845-417-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARONE",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "ND, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00709300",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NH",
            "license": "131",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Anita Ginese
• Linda M Grella-Goff, LCSW
• Danielle Taylor Knapp, ATC
• Doreen Koepp, RN
• Lionel Laforest, PHYSICIAN ASSISTANT
• Alicia A Mattson, M.S.OTR/L
• Laurie Meccariello-Buchal, BCBA,MSED.
• Margaret Dolan Moran
• Nicole Novak, SLP
• Jodie Preuss

• Chiropractor in Clinton Corners, NY
• Providers in Clinton Corners, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.