Active NPI
Martin Alan Venezia, D.C
- Chiropractor
- Commack, NY
National Provider Identifier
1326115668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X006806-1
- Practice address
- 283 Commack Rd
Ste 100
Commack, NY 11725-6021 - Phone
- (631) 462-6620
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X006806-1 | NY | Primary |
Addresses
Primary practice location
283 Commack Rd
Ste 100
Commack, NY 11725-6021
Mailing address
14 Sylvester Rd
Wading River, NY 11792-1508
Phone (631) 929-8631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050212000066 | NY | Practitioner - Chiropractic | 1355393851 | Practice locations: Commack, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
283 Commack Rd
Suite 100
Commack, NY 11725-3400
Phone (631) 462-6620
283 Commack Rd
Suite 100
Commack, NY 11725-3634
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X006806-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326115668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SYLVESTER RD",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117921508",
"telephone_number": "631-929-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 COMMACK RD",
"address_2": "STE 100",
"city": "COMMACK",
"state": "NY",
"postal_code": "117256021",
"telephone_number": "631-462-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENEZIA",
"first_name": "MARTIN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X006806-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- 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.