Active NPI
Diane J. Reppert, D.C.
- Nutrition Chiropractor
- New York, NY
National Provider Identifier
1417057357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X004193
- Practice address
- 119 W 57TH St Ste 712
New York, NY 10019-2302 - Phone
- (212) 581-9079
- Fax
- (212) 581-1413
- NPI assigned
- Sep 22, 2006
- Last updated
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X004193 | NY | Primary |
Addresses
Primary practice location
119 W 57TH St Ste 712
New York, NY 10019-2302
Mailing address
119 W 57TH St Ste 712
New York, NY 10019-2302
Phone (212) 581-9079
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 |
|---|---|---|---|
| X004193 | NY | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innate Chiropractic of Manhattan PC | Past | Accepting new patients | |
| Diane J Reppert Chiropractor PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Ithaca, NY
- NPI 1871866392
-
- Clinic/Center
- New York, NY
- NPI 1932242294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1417057357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W 57TH ST STE 712",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192302",
"telephone_number": "212-581-9079",
"fax_number": "212-581-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 57TH ST STE 712",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192302",
"telephone_number": "212-581-9079",
"fax_number": "212-581-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPPERT",
"first_name": "DIANE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X004193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Matteo Repetto, MD
- Judith M Repetur, MSW
- Nava Rephun, MSW
- Kelly Repko
- Replacement Associates LLC (Upper Eastside Dialysis)
- Constance Repplier, LMT, LAC
- Marina Reppucci
- Reproductive Medicine Associates of Brooklyn LLP
- Reproductive Medicine Associates of Ny, LLP (RMA of NY)
- Maria Eloisa Delapen Repuyan, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.