Organization Active NPI

North Isle Chiropractic PC

  • Chiropractor
  • Miller Place, NY
National Provider Identifier
1447526967
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007216 Issued in NY
Legal business name
NORTH ISLE CHIROPRACTIC PC
Practice address
93 Miller Place Rd.
Miller Place, NY 11764
Phone
(631) 476-4051
Fax
(631) 476-4054
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Dr. Thomas J. Ianniello, D.C.
Title
Chiropractor
Phone
(631) 476-4051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007216 NY Primary

Addresses

Primary practice location

93 Miller Place Rd.
Miller Place, NY 11764

Mailing address

93 Miller Place Rd.
Miller Place, NY 11764
Phone (631) 476-4051

National Provider Directory

National Provider Directory

Locations

93 Miller Place Rd
Miller Place, NY 11764
Phone (631) 476-4051

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1447526967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MILLER PLACE RD.",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "11764",
            "telephone_number": "631-476-4051",
            "fax_number": "631-476-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MILLER PLACE RD.",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "11764",
            "telephone_number": "631-476-4051",
            "fax_number": "631-476-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ISLE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "IANNIELLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "631-476-4051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "007216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.