Charles Michael Ventresca, D.C., L.AC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X4493 Issued in NY

Practice address

194 Birch Hill Rd
Locust Valley, NY 11560-1832

Phone

(516) 676-4267

Fax

(516) 676-6811

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1427194448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601832",
            "telephone_number": "516-676-4267",
            "fax_number": "516-676-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601832",
            "telephone_number": "516-676-4267",
            "fax_number": "516-676-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRESCA",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X4493",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Medical Station of North Shore PC
• Laura Grace Torff
• Elzbieta Tworzydlo, MD
• Erin Tyler, DPT
• Celia M Varga, PT
• Lissette Kaleena Vizcarrondo, M.S., CCC-SLP
• Tashi Wangyal, DO
• Margaret Whitting, MS ED
• Judith A. Williams, M.S., CCC/SLP

• Chiropractor in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.