Individual provider Active NPI

Philip Rocco Scarano, D.C.

  • Chiropractor
  • Glenville, NY
National Provider Identifier
1417194366
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011647 Issued in NY
Practice address
123 Saratoga Rd
Glenville, NY 12302-4181
Phone
(315) 868-7080
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011647 NY Primary

Addresses

Primary practice location

123 Saratoga Rd
Glenville, NY 12302-4181

Mailing address

116 Overlook Rd
Little Falls, NY 13365-5704
Phone (315) 868-7080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000449 NY Practitioner - Chiropractic 2860677374 Practice locations: Glenville, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

123 Saratoga Rd
Glenville, NY 12302-4181
Phone (518) 384-0877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1417194366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OVERLOOK RD",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133655704",
            "telephone_number": "315-868-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SARATOGA RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024181",
            "telephone_number": "315-868-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARANO",
        "first_name": "PHILIP",
        "middle_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.