Active NPI
John P Manfredi, D.C.
- Chiropractor
- Mount Vernon, NY
National Provider Identifier
1477670339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005560
- Practice address
- 704 Locust St
Mount Vernon, NY 10552-2111 - Phone
- (914) 699-6763
- Fax
- (914) 699-0070
- NPI assigned
- Mar 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005560 | NY | Primary |
Addresses
Primary practice location
704 Locust St
Mount Vernon, NY 10552-2111
Mailing address
704 Locust St
Mount Vernon, NY 10552-2111
Phone (914) 699-6763
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
| License | State | Type | Specialty |
|---|---|---|---|
| X005560 | NY | MD | Chiropractor |
| 005560 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1477670339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 LOCUST ST",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105522111",
"telephone_number": "914-699-6763",
"fax_number": "914-699-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 LOCUST ST",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105522111",
"telephone_number": "914-699-6763",
"fax_number": "914-699-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFREDI",
"first_name": "JOHN",
"middle_name": "P",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.