Active NPI
Michael Cirisano, D.C.
- Neurology Chiropractor
- Franklin Square, NY
National Provider Identifier
1467645226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- X38986
- Practice address
- 267 Paschal Ave
Franklin Square, NY 11010-2846 - Phone
- (516) 354-9053
- NPI assigned
- Aug 23, 2007
- Last updated
- Aug 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | X38986 | NY | Primary |
Addresses
Primary practice location
267 Paschal Ave
Franklin Square, NY 11010-2846
Mailing address
267 Paschal Ave
Franklin Square, NY 11010-2846
Phone (516) 354-9053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120206000637 | NY | Practitioner - Chiropractic | 9739346586 | Practice locations: Franklin Square, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
267 Paschal Ave
Franklin Square, NY 11010-2846
Phone (516) 354-9053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X38986 | NY | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1467645226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 PASCHAL AVE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110102846",
"telephone_number": "516-354-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 PASCHAL AVE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110102846",
"telephone_number": "516-354-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIRISANO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "X38986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.