Active NPI
Darryl Peter Cera, D.C.
- Rehabilitation Chiropractor
- New York, NY
National Provider Identifier
1356412753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- X004009-1
- Practice address
- 309 W 99TH St Apt 1a
New York, NY 10025-5416 - Phone
- (917) 536-1099
- Fax
- (212) 864-3028
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | X004009-1 | NY | Primary |
Addresses
Primary practice location
309 W 99TH St Apt 1a
New York, NY 10025-5416
Mailing address
309 W 99TH St Apt 1a
New York, NY 10025-5416
Phone (917) 536-1099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD 470946 | Other | NY | GHI |
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 |
|---|---|---|---|
| X004009-1 | NY | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1356412753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W 99TH ST APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100255416",
"telephone_number": "917-536-1099",
"fax_number": "212-864-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W 99TH ST APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100255416",
"telephone_number": "917-536-1099",
"fax_number": "212-864-3028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERA",
"first_name": "DARRYL",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NY",
"license": "X004009-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "CD 470946",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.