Organization Active NPI

Nuccio Chiropractic PLLC

  • Chiropractor
  • Rome, NY
National Provider Identifier
1316444094
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004082 Issued in NY
Legal business name
NUCCIO CHIROPRACTIC PLLC
Practice address
1617 N James St Ste 500
Rome, NY 13440-2851
Phone
(315) 337-8740
Fax
(315) 336-2219
NPI assigned
Apr 10, 2018
Last updated
Apr 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Mrs. Tabitha Sasenbury
Title
Office Manager
Phone
(315) 337-8740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 004082 NY Primary

Addresses

Primary practice location

1617 N James St Ste 500
Rome, NY 13440-2851

Mailing address

1617 N James St Ste 500
Rome, NY 13440-2851
Phone (315) 337-8740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180716002411 NY Part B Supplier - Clinic/Group Practice 9638426190 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, NY

National Provider Directory

National Provider Directory

Locations

1617 N James St
Ste 500
Rome, NY 13440
Phone (315) 336-3380

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1316444094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N JAMES ST STE 500",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402851",
            "telephone_number": "315-337-8740",
            "fax_number": "315-336-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N JAMES ST STE 500",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402851",
            "telephone_number": "315-337-8740",
            "fax_number": "315-336-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCCIO CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "SASENBURY",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-337-8740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "004082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.