Active NPI
Richard A Nebiosini, D.C.
- Chiropractor
- Miller Place, NY
National Provider Identifier
1275695975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X004815
- Practice address
- 451 Route 25a
Unit 9
Miller Place, NY 11764-2500 - Phone
- (631) 752-4000
- NPI assigned
- Dec 16, 2006
- Last updated
- Aug 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | X004815 | NY | Primary |
Addresses
Primary practice location
451 Route 25a
Unit 9
Miller Place, NY 11764-2500
Mailing address
451 Route 25a
Unit 9
Miller Place, NY 11764-2500
Phone (631) 752-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00182186 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041028001163 | NY | Practitioner - Chiropractic | 9739141003 | Practice locations: Rocky Point, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
170 Route 25a
Suite B
Rocky Point, NY 11778-9091
Phone (631) 752-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004815 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1275695975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 ROUTE 25A",
"address_2": "UNIT 9",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642500",
"telephone_number": "631-752-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 ROUTE 25A",
"address_2": "UNIT 9",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642500",
"telephone_number": "631-752-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBIOSINI",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-16",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X004815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00182186",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.