Individual provider Active NPI

Amanda Sue Merckling, D.C.

  • Chiropractor
  • Hempstead, NY
National Provider Identifier
1306987300
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010868 Issued in NY
Practice address
1 Fulton Ave
Suite 10
Hempstead, NY 11550-3646
Phone
(516) 292-2993
Fax
(516) 292-2996
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010868 NY Primary

Addresses

Primary practice location

1 Fulton Ave
Suite 10
Hempstead, NY 11550-3646

Mailing address

3 Christine LN
Yaphank, NY 11980-1207
Phone (631) 775-7145

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X010868NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1306987300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHRISTINE LN",
            "city": "YAPHANK",
            "state": "NY",
            "postal_code": "119801207",
            "telephone_number": "631-775-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE",
            "address_2": "SUITE 10",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503646",
            "telephone_number": "516-292-2993",
            "fax_number": "516-292-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCKLING",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.