Vincent a Justino DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008964 Issued in NY

Legal business name

VINCENT A JUSTINO DC PC

Doing business as

Justino Chiropractic and Wellness Center

Practice address

218 Main St
New Paltz, NY 12561

Phone

(845) 255-5733

Fax

(845) 255-5766

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent A Justino, DCNPI 1437265196

Title

Chiropractor/President

Phone

(845) 255-5733

Specialties & licenses 1

Addresses

Other names 1

• Justino Chiropractic and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent A Justino, DC

  • Chiropractor
  • New Paltz, NY
  • NPI 1437265196
  Medicare reassignment NPD Authorized official
• Trisha Lynn Losee, LMT

  • Massage Therapist
  • New Paltz, NY
  • NPI 1457527996
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316059835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "12561",
            "telephone_number": "845-255-5733",
            "fax_number": "845-255-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "12561",
            "telephone_number": "845-255-5733",
            "fax_number": "845-255-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT A JUSTINO DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUSTINO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "845-255-5733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justino Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• United Cerebral Palsy of Ulster County Inc
• Lisa Urrico, MHC-LP
• Susan Patricia Van de Bogart, PT
• Sarah E Venza
• Eric Romeo Verruto, O.D.
• Michelle Dominique Wade, LCSW
• Walgreen Co (Walgreens #17317)
• Ashley Walko, LMHC
• Stephen Jay Walko II, LMHC
• Rebecca Walters, LCAT LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.