Main Street Health Associates PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007061L Issued in PA

Legal business name

MAIN STREET HEALTH ASSOCIATES PC

Practice address

135 South Main Street
Pittston, PA 18640

Phone

(570) 655-4404

Fax

(570) 655-4562

NPI assigned

Apr 15, 2008

Organization subpart

Yes

Parent organization

MAIN STREET HEALTH ASSOCIATES PCAs reported in NPPES

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

Authorized official

Name

Vincent Ross Argenio, DCNPI 1871639401

Title

President

Phone

(570) 655-4404

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Main Street Physical Therapy and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

Main Street Health Associates PC

Locations

Practitioners 1

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

• Vincent Ross Argenio, DC

  • Chiropractor
  • Pittston, PA
  • NPI 1871639401
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1396919940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SOUTH MAIN STREET",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "18640",
            "telephone_number": "570-655-4404",
            "fax_number": "570-655-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SOUTH MAIN STREET",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "18640",
            "telephone_number": "570-655-4404",
            "fax_number": "570-655-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET HEALTH ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAIN STREET HEALTH ASSOCIATES PC",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "ARGENIO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-655-4404",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007061L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013491L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013095920001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01654591",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Physical Therapy and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Pittston, PA
• Providers in Pittston, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.