Organization Active NPI

Cornerstone Family Chiropractic PLLC

  • Chiropractor
  • Marcellus, NY
National Provider Identifier
1376016576
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORNERSTONE FAMILY CHIROPRACTIC PLLC
Practice address
6 W Main St
Marcellus, NY 13108-1118
Phone
(315) 288-3633
Fax
(315) 748-5372
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Dr. Michelle C Goldych, DCNPI 1366614398
Title
Sole Member / Owner
Phone
(315) 288-3633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6 W Main St
Marcellus, NY 13108-1118

Mailing address

6 W Main St
Marcellus, NY 13108-1118
Phone (315) 288-3633

Other practice location 1

8212 Brewerton Rd
Cicero, NY 13039-6400
Phone (315) 699-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220602001568 NY Part B Supplier - Clinic/Group Practice 0042698094 Receives reassigned benefits from 1 practitioner
Practice locations: Marcellus, NY

National Provider Directory

National Provider Directory

Locations

6 W Main St
Marcellus, NY 13108
Phone (315) 288-3633

24 E Main St
Marcellus, NY 13108
Phone (315) 288-3633

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1376016576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081118",
            "telephone_number": "315-288-3633",
            "fax_number": "315-748-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081118",
            "telephone_number": "315-288-3633",
            "fax_number": "315-748-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8212 Brewerton Rd",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "NY",
            "postal_code": "130396400",
            "country_code": "US",
            "telephone_number": "315-699-1441",
            "fax_number": "315-699-2596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "GOLDYCH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER / OWNER",
        "authorized_official_telephone_number": "315-288-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marcellus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.