Individual provider Active NPI

Anthony J Deriggi

  • Chiropractor
  • Bronx, NY
National Provider Identifier
1427233121
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011482-1 Issued in NY
Practice address
997 Morris Park Ave
Bronx, NY 10462-3753
Phone
(718) 863-0777
Fax
(718) 904-8044
NPI assigned
Jan 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011482-1 NY Primary

Addresses

Primary practice location

997 Morris Park Ave
Bronx, NY 10462-3753

Mailing address

744 Old Country Rd
Plainview, NY 11803-4929
Phone (718) 863-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000055 NY Practitioner - Chiropractic 2567638257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

744 Old Country Rd
Plainview, NY 11803-4929
Phone (516) 933-1034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011482NYMDClinical Psychologist
X011482-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Deriggi Family Chiropractic PC Chiropractor CurrentSince Nov 22, 2011 Accepting new patients

Locations

744 Old Country Rd
Plainview, NY 11803
Phone (516) 933-1034

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1427233121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034929",
            "telephone_number": "718-863-0777",
            "fax_number": "718-904-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623753",
            "telephone_number": "718-863-0777",
            "fax_number": "718-904-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIGGI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-01",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011482-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.