Active NPI
Matthew Joseph Viso, DC
- Chiropractor
- Brentwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 009235
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009235 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Patchogue, NY
- NPI 1801550769
-
- Chiropractor
- Brentwood, NY
- NPI 1790449643
-
- Chiropractor
- Brentwood, NY
- NPI 1861373961
-
- Chiropractor
- Sunnyside, NY
- NPI 1477717767
-
- Sports Physician Chiropractor
- Sunnyside, NY
- NPI 1225203136
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
- Mayda Lidia Villatoro
- Saida Rosivel Vilorio-Garcia, RN
- Vincent Leddy MD PC
- Michelle Lynn Viola
- Visiting Nurse & Homecare Referral Services of Bay Shore Inc. (All County Health Care Referral Services of New York)
- Dadelie Volmar-Rowe, RN
- VR Leddy, M.D., P.C.
- Erica L Waag, RN
- Walgreen Co (Rite Aid)
- Walgreen Co (Walgreens #16303)
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.