Individual provider Active NPI

David J Cerniglia, DC

  • Chiropractor
  • Scotia, NY
National Provider Identifier
1265444673
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0092761 Issued in NY
Practice address
25 Mohawk Ave
Scotia, NY 12302-2565
Phone
(518) 374-8039
Fax
(518) 374-0273
NPI assigned
Aug 13, 2006
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0092761 NY Primary

Addresses

Primary practice location

25 Mohawk Ave
Scotia, NY 12302-2565

Mailing address

25 Mohawk Ave
Scotia, NY 12302-2563
Phone (518) 374-8039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000153 NY Practitioner - Chiropractic 0042394785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Mohawk Ave
Scotia, NY 12302-2563
Phone (518) 374-8039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0092761NYMDChiropractor
007276NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
David J Cerniglia DC PC Chiropractor CurrentSince Jun 14, 2000 Accepting new patients
Clifton Park Chiropractic PLLC PastSince Jul 10, 2021 Accepting new patients

Locations

654 Watervliet Shaker Rd
Latham, NY 12110
Phone (518) 218-4455

105 Mohawk Ave
Scotia, NY 12302
Phone (518) 374-8039

25 Mohawk Ave
Scotia, NY 12302
Phone (518) 374-8039

Organizations & group practices 2

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1265444673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOHAWK AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022563",
            "telephone_number": "518-374-8039",
            "fax_number": "518-374-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOHAWK AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022565",
            "telephone_number": "518-374-8039",
            "fax_number": "518-374-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNIGLIA",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0092761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.