NPIMap

Organization Active NPI

Lorraine del Rosso Chiropractic,Dietetics,and Nutrition,PLLC

  • Nutrition Chiropractor
  • Malta, NY
National Provider Identifier
1275817181
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
X004015-1 Issued in NY
Legal business name
LORRAINE DEL ROSSO CHIROPRACTIC,DIETETICS,AND NUTRITION,PLLC
Practice address
19 Kendall Way
Shops of Malta
Malta, NY 12020
Phone
(518) 899-9199
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Lorraine Del Rosso, DC
Title
Chiropractor
Phone
(518) 496-2142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X X004015-1 NY Primary

Addresses

Primary practice location

19 Kendall Way
Shops of Malta
Malta, NY 12020

Mailing address

P O Box 1153
Ballston Lake, NY 12019-0153
Phone (518) 899-9199

Other identifiers 1

IdentifierTypeStateIssuer
DD5676OtherNYMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

19 Kendall Way
Malta, NY 12020
Phone (518) 496-2142

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1275817181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1153",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120190153",
            "telephone_number": "518-899-9199",
            "fax_number": "518-899-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 KENDALL WAY",
            "address_2": "SHOPS OF MALTA",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-899-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE DEL ROSSO CHIROPRACTIC,DIETETICS,AND NUTRITION,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "DEL ROSSO",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "518-496-2142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X004015-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DD5676",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.