Individual provider Active NPI

Stephen C Piserchia, DC

  • Chiropractor
  • New Haven, CT
National Provider Identifier
1457397200
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01097 Issued in CT
Practice address
1213 Chapel St
New Haven Medical Sports & Occupational Health
New Haven, CT 06511
Phone
(203) 776-3375
Fax
(203) 776-3171
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01097 CT Primary

Addresses

Primary practice location

1213 Chapel St
New Haven Medical Sports & Occupational Health
New Haven, CT 06511

Mailing address

1213 Chapel Street
New Haven, CT 06511
Phone (203) 776-3375

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

LicenseStateTypeSpecialty
01097CTMDClinical Psychologist
001097CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Haven Medical Sports & Occupational Health Chiropractor PastSince Aug 25, 2006 Accepting new patients

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1457397200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 CHAPEL STREET",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-776-3375",
            "fax_number": "203-776-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CHAPEL ST",
            "address_2": "NEW HAVEN MEDICAL SPORTS & OCCUPATIONAL HEALTH",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-776-3375",
            "fax_number": "203-776-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISERCHIA",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "01097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.