Active NPI
Marianne Santell, D.C.
- Chiropractor
- Farmington, NY
National Provider Identifier
1477681963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009868-1
- Practice address
- 1625 Rochester Rd
Farmington, NY 14425-9633 - Phone
- (585) 869-5120
- Fax
- (585) 869-5121
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009868-1 | NY | Primary |
Addresses
Primary practice location
1625 Rochester Rd
Farmington, NY 14425-9633
Mailing address
1625 Rochester Rd
Farmington, NY 14425-9633
Phone (585) 869-5120
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010009868 | Other | NY | EXCELLUS BLUE CHOICE |
| 1477681963 | Other | NY | AETNA |
| P010009868 | Other | NY | EXCELLUS BCBS |
| 1477681963 | Other | NY | UNITED HEALTH CARE |
| C09868-3B | Other | NY | WORK COMP |
Other names 1
- Dr. Marianne Simone
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 |
|---|---|---|---|
| X009868-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Past | 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.
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1477681963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 ROCHESTER RD",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "144259633",
"telephone_number": "585-869-5120",
"fax_number": "585-869-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 ROCHESTER RD",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "144259633",
"telephone_number": "585-869-5120",
"fax_number": "585-869-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTELL",
"first_name": "MARIANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009868-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE CHOICE",
"identifier": "P010009868",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1477681963",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BCBS",
"identifier": "P010009868",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1477681963",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "C09868-3B",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANNE",
"last_name": "SIMONE",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Farmington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.