Active NPI
Emilie Ann Scirocco, DC
- Chiropractor
- Islip, NY
National Provider Identifier
1376673095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0062421
- Practice address
- 804 Main Street
Islip, NY 11751 - Phone
- (631) 224-1212
- Fax
- (631) 224-1253
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- 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 | X0062421 | NY | Primary |
Addresses
Primary practice location
804 Main Street
Islip, NY 11751
Mailing address
804 Main Street
Islip, NY 11751
Phone (631) 224-1212
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 |
|---|---|---|---|
| X0062421 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376673095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 MAIN STREET",
"city": "ISLIP",
"state": "NY",
"postal_code": "11751",
"telephone_number": "631-224-1212",
"fax_number": "631-224-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 MAIN STREET",
"city": "ISLIP",
"state": "NY",
"postal_code": "11751",
"telephone_number": "631-224-1212",
"fax_number": "631-224-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIROCCO",
"first_name": "EMILIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0062421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.