Individual provider Active NPI

Marco Caruso, D.C.

  • Chiropractor
  • Scarsdale, NY
National Provider Identifier
1346421708
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010167-1 Issued in NY
Practice address
83 Montgomery Ave
Floor 1
Scarsdale, NY 10583-5104
Phone
(914) 961-7575
Fax
(914) 961-8489
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010167-1 NY Primary

Addresses

Primary practice location

83 Montgomery Ave
Floor 1
Scarsdale, NY 10583-5104

Mailing address

83 Montgomery Ave
Floor 1
Scarsdale, NY 10583-5104
Phone (914) 961-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000713 NY Practitioner - Chiropractic 6406051903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Natural Life Chiropractic Care PCGroup PAC ID 5597960096, 2 clinicians

Practice addresses (Care Compare)

83 Montgomery Ave
Scarsdale, NY 10583-5104
Phone (914) 961-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010167NYMDMental Health Counselor
X010167-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Life Chiropractic Care PC Chiropractor CurrentSince Sep 6, 2001 Accepting new patients

Locations

281 White Plains Rd
Eastchester, NY 10709
Phone (914) 961-1404

83 Montgomery Ave
#1
Scarsdale, NY 10583

83 Montgomery Ave
Scarsdale, NY 10583
Phone (914) 472-6686

83 Montgomery Ave
Fl 1
Scarsdale, NY 10583
Phone (914) 961-7575

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1346421708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MONTGOMERY AVE",
            "address_2": "FLOOR 1",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835104",
            "telephone_number": "914-961-7575",
            "fax_number": "914-961-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MONTGOMERY AVE",
            "address_2": "FLOOR 1",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835104",
            "telephone_number": "914-961-7575",
            "fax_number": "914-961-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "MARCO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010167-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.