Vincent J. Scalisi, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008108 Issued in NY

Practice address

126 Campbell Rd # 1
Mattydale, NY 13211-1204

Phone

(315) 516-4476

NPI assigned

Apr 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239408000000",
    "number": "1477796159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130410193",
            "telephone_number": "315-516-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CAMPBELL RD # 1",
            "city": "MATTYDALE",
            "state": "NY",
            "postal_code": "132111204",
            "telephone_number": "315-516-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALISI",
        "first_name": "VINCENT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-11",
        "last_updated": "2009-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Rawson, LMT
• Kimberly L Richer, LPN
• Tiffani Lynn Rombach, LMT
• Kristi Leigh Rosette
• Andrea Marie Rubin, PHARMD
• Megan Seeley, LMT
• Kara Elisabeth Shostack, LMT
• Chelsea Renae Smith
• Corey Smith
• Candice Leeann Tucci, LMT

• Chiropractor in Mattydale, NY
• Providers in Mattydale, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2009; 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.