Marc S. Taczanowski, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X008229-1 Issued in NY

Practice address

631 Lake Ave
Suite a
Saint James, NY 11780-1961

Phone

(631) 584-8783

Fax

(631) 584-8784

NPI assigned

May 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Chiropractic PLLC

  dba True Sport Care

  • Sports Physician Chiropractor
  • Nesconset, NY
  • NPI 1164475695
  Medicare reassignment NPD Authorized official
• Long Island Family Medical

  • Emergency Medicine Physician
  • Miller Place, NY
  • NPI 1053461665
  NPD (past)
• Long Island Family Medical Group PC

  • Family Medicine Physician
  • Saint James, NY
  • NPI 1841223369
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326093857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 LAKE AVENUE SUITE A",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-584-8783",
            "fax_number": "631-584-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 LAKE AVE",
            "address_2": "SUITE A",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801961",
            "telephone_number": "631-584-8783",
            "fax_number": "631-584-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACZANOWSKI",
        "first_name": "MARC",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X008229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Anne Struss
• Alessandra Marie Stubbs, LAC
• Robert A. Swierupski, M.D.
• Victoria Szafranska, DC, LMT
• Hope M. Taczanowski, D.C.
• Talay Family Chiropractic PC
• Nicole Barbara Talay, DC
• Lisa Taube
• Andrea Tedesco
• Nancy Terrence

• Sports Physician Chiropractor in Saint James, NY
• Providers in Saint James, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.