Jack A Dippolito, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X1732 Issued in NY

Practice address

71 Valentine Ave
Glencove, NY 11542

Phone

(845) 624-3909

Fax

(845) 624-3909

NPI assigned

Aug 15, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366444879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 VALENTINE AVE",
            "city": "GLENCOVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "845-624-3909",
            "fax_number": "845-624-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 VALENTINE AVE",
            "city": "GLENCOVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "845-624-3909",
            "fax_number": "845-624-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPPOLITO",
        "first_name": "JACK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X1732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Diaz, PHARMD
• Jennifer Diaz, PA-C
• Margaret M Diliberto, MS ANP
• Smitha Mathew Dilodilo, PHARMACY DOCTORATE
• Farah Gaziz Dimsuyu, PMHNP
• Direct Medical Supplies, Inc.
• Gabrielle Divincenzo
• Blanca Dobbins
• Marianna Dogot, M.D.
• Henry John Dondero, DDS

• Chiropractor in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.