Charles Celano, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013696-01 Issued in NY

Practice address

583 Broadway
Massapequa, NY 11758-5052

Phone

(516) 799-3200

NPI assigned

Feb 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michael Sicignano, P.T., P.C.

  • Physical Therapist
  • Massapequa, NY
  • NPI 1679770861
  NPD (past)

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1285331371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585052",
            "telephone_number": "516-799-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585052",
            "telephone_number": "516-799-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELANO",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013696",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013696-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CC Nutrition & Fitness Inc
• Cda Medical, PLLC
• Kirsten Cecora
• Lena Cecora, M.S.W.
• Raymond N Cecora, PT DPT MS
• Krystina Centeno, MHC-LP
• Joanne Centrella
• Thomas A Cerbone, DDS
• Andrew Cerullo, DPT
• Christine Cervo

• Chiropractor in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.