Individual provider Active NPI

Matthew Joseph Viso, DC

  • Chiropractor
  • Brentwood, NY
National Provider Identifier
1356377618
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009235 Issued in NY
Practice address
55 2ND Ave
Brentwood, NY 11717-4665
Phone
(631) 617-5733
Fax
(631) 617-5731
NPI assigned
Jun 25, 2006
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 009235 NY Primary

Addresses

Primary practice location

55 2ND Ave
Brentwood, NY 11717-4665

Mailing address

23 Greenmist Dr
Lake Ronkonkoma, NY 11779-4559
Phone (631) 676-6665

Other practice location 1

239 E Main St
Patchogue, NY 11772-3105
Phone (631) 627-6300

Other practice location 2

207 Hallock Rd
Suite 160
Stony Brook, NY 11790-3033
Phone (631) 751-5588

Other practice location 3

11622 Queens Blvd
Forest Hills, NY 11375-7055
Phone (718) 275-4700

Other practice location 4

325 Merrick Ave
East Meadow, NY 11554-1556
Phone (516) 855-5880

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
009235NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Suffolk Spine & Sports Chiropractic Chiropractor Current Accepting new patients
Ny Chiropractic Spinal Care Chiropractor Current Accepting new patients
Brookhaven Spine & Sports Chiropractic Chiropractor Current Accepting new patients
Optimal Chiropractic Associates, PLLC Chiropractor Past Accepting new patients
A & a Alignment Chiropractic P.C. Chiropractor Past Accepting new patients

Locations

239 E Main St
Patchogue, NY 11772
Phone (631) 289-0044

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1356377618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GREENMIST DR",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794559",
            "telephone_number": "631-676-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 2ND AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174665",
            "telephone_number": "631-617-5733",
            "fax_number": "631-617-5731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 E Main St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723105",
            "country_code": "US",
            "telephone_number": "631-627-6300",
            "fax_number": "631-627-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Hallock Rd",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117903033",
            "country_code": "US",
            "telephone_number": "631-751-5588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11622 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113757055",
            "country_code": "US",
            "telephone_number": "718-275-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541556",
            "country_code": "US",
            "telephone_number": "516-855-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISO",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.