Individual provider Active NPI

Hugo F Pacheco, D.C.

  • Chiropractor
  • Ridgewood, NY
National Provider Identifier
1255549523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-010961 Issued in NY
Practice address
337 Saint Nicholas Ave
Ridgewood, NY 11385-2738
Phone
(347) 306-9009
Fax
(718) 418-6584
NPI assigned
May 19, 2007
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 X-010961 NY Primary

Addresses

Primary practice location

337 Saint Nicholas Ave
Ridgewood, NY 11385-2738

Mailing address

337 Saint Nicholas Ave
Ridgewood, NY 11385-2738
Phone (347) 306-9009

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

LicenseStateTypeSpecialty
X-010961NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Spine & Sport of Queens P.C. Chiropractor Current Accepting new patients
Ny Total Medical Care, P.C. PastSince Jul 1, 2011 Accepting new patients
Palmetto Medical Group, LLP Past Accepting new patients
Accucare Medical & Rehabilitation, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJGAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255549523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 SAINT NICHOLAS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852738",
            "telephone_number": "347-306-9009",
            "fax_number": "718-418-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SAINT NICHOLAS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852738",
            "telephone_number": "347-306-9009",
            "fax_number": "718-418-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "HUGO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-010961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.