Thomas P Tini, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X08707 Issued in NY

Practice address

1941 Deer Park Ave Ste a
Deer Park, NY 11729-3326

Phone

(631) 254-0155

Fax

(631) 254-0157

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Chiropractic Care, PCGroup PAC ID 5395815724, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Chiropractic Care, PC

  • Chiropractor
  • Deer Park, NY
  • NPI 1619134871
  Medicare reassignment Care Compare group NPD
• Advanced Chiropractic Healthcare

  • Chiropractor
  • Garden City, NY
  • NPI 1134207178
  Medicare reassignment NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1386781003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 DEER PARK AVE STE A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293326",
            "telephone_number": "631-254-0155",
            "fax_number": "631-254-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 DEER PARK AVE STE A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293326",
            "telephone_number": "631-254-0155",
            "fax_number": "631-254-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINI",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X08707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.