Organization Active NPI

Paul M Vassa DC PC

  • Chiropractor
  • Patchogue, NY
National Provider Identifier
1326280165
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008693 Issued in NY
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

Updated by the provider on Mar 25, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.