Individual provider Active NPI

Vicente Osvaldo Saraco, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1366626459
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008924-1 Issued in NY
Practice address
91 Central Park W
New York, NY 10023-4600
Phone
(212) 580-3350
Fax
(212) 874-8034
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008924-1 NY Primary

Addresses

Primary practice location

91 Central Park W
New York, NY 10023-4600

Mailing address

252 Prospect Place
Brooklyn, NY 11238-3977
Phone (718) 399-8455

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
X008924-1NYMDChiropractor
008924NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York Chiropractic Life, PLLC Chiropractor PastSince Oct 12, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vicente.saraco.1@31266.direct.athenahealth.com

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1366626459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 PROSPECT PLACE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383977",
            "telephone_number": "718-399-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CENTRAL PARK W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234600",
            "telephone_number": "212-580-3350",
            "fax_number": "212-874-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARACO",
        "first_name": "VICENTE",
        "middle_name": "OSVALDO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008924-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 26, 2007; 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.