Individual provider Active NPI

Robert Leonard Marchese, D.C.

  • Chiropractor
  • Maspeth, NY
National Provider Identifier
1255420014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005700 Issued in NY
Practice address
7303 Grand Ave
Maspeth, NY 11378-1523
Phone
(718) 899-5433
Fax
(718) 899-7875
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005700 NY Primary

Addresses

Primary practice location

7303 Grand Ave
Maspeth, NY 11378-1523

Mailing address

7303 Grand Ave
Maspeth, NY 11378-1523
Phone (718) 899-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000005 NY Practitioner - Chiropractic 9537301965 Reassigns benefits to 1 organization
Practice locations: Maspeth, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marchese Integrative Medical Practice PCGroup PAC ID 8022496736, 2 clinicians

Practice addresses (Care Compare)

7303 Grand Ave
Maspeth, NY 11378-1523
Phone (718) 899-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005700NYMDChiropractor
X007500NYMDChiropractor
005700NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marchese Integrative Medical Practice PC Chiropractor CurrentSince Jun 1, 2022 Accepting new patients

Locations

7303 Grand Ave
Maspeth, NY 11378
Phone (718) 899-5433

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255420014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781523",
            "telephone_number": "718-899-5433",
            "fax_number": "718-899-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781523",
            "telephone_number": "718-899-5433",
            "fax_number": "718-899-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "ROBERT",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.