Active NPI
Paul M Vassa DC PC
- Chiropractor
- Patchogue, NY
National Provider Identifier
1326280165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008693
- Legal business name
- PAUL M VASSA DC PC
- Practice address
- 485 N Ocean Ave
Patchogue, NY 11772-1762 - Phone
- (631) 475-0353
- Fax
- (631) 475-0399
- NPI assigned
- Mar 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul M Vassa, DC
- Title
- Chiropractor
- Phone
- (631) 368-4172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008693 | NY | Primary |
Addresses
Primary practice location
485 N Ocean Ave
Patchogue, NY 11772-1762
Mailing address
1187 5TH Ave
East Northport, NY 11731-2632
Phone (631) 368-4172
National Provider Directory
National Provider DirectoryLocations
233 Union Ave
Ste 102
Holbrook, NY 11741
Phone (631) 664-6841
7 High St
Ste 305
Huntington, NY 11743
Phone (631) 673-6969
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Holbrook, NY
- NPI 1275542565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237939200000",
"number": "1326280165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 5TH AVE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117312632",
"telephone_number": "631-368-4172",
"fax_number": "631-475-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 N OCEAN AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721762",
"telephone_number": "631-475-0353",
"fax_number": "631-475-0399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL M VASSA DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-25",
"last_updated": "2009-03-25",
"status": "A",
"authorized_official_last_name": "VASSA",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "631-368-4172",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X008693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.