Individual provider Active NPI

Joseph Frank Merlo, D.C.

  • Neurology Chiropractor
  • Bellerose, NY
National Provider Identifier
1326105362
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
X005620-01 Issued in NY
Practice address
25211 Union Tpke
Bellerose, NY 11426-2629
Phone
(718) 347-2225
Fax
(718) 347-2257
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X X005620-01 NY Primary

Addresses

Primary practice location

25211 Union Tpke
Bellerose, NY 11426-2629

Mailing address

25211 Union Tpke
Bellerose, NY 11426-2629
Phone (718) 347-2225

Other identifiers 3

IdentifierTypeStateIssuer
P1933215OtherNYOXFORD
2070874OtherNYAETNA US HEALTH CARE
X4087OtherNYBLUE CROSS BLUE SHIELD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005620-01NYMDNeurology Chiropractor
005620NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1326105362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25211 UNION TPKE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262629",
            "telephone_number": "718-347-2225",
            "fax_number": "718-347-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25211 UNION TPKE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262629",
            "telephone_number": "718-347-2225",
            "fax_number": "718-347-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLO",
        "first_name": "JOSEPH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X005620-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1933215",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH CARE",
            "identifier": "2070874",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X4087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.