Michael A Ercolino, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X2104 Issued in NY

Practice address

250 Higbie LN
West Islip, NY 11795-2828

Phone

(631) 422-0404

Fax

(631) 422-0573

NPI assigned

Aug 18, 2006

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Island Shore Physical Therapy, LLP

  • Physical Therapy Clinic/Center
  • East Islip, NY
  • NPI 1295911071
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497869523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952828",
            "telephone_number": "631-422-0404",
            "fax_number": "631-422-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952828",
            "telephone_number": "631-422-0404",
            "fax_number": "631-422-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCOLINO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Emnett, MD
• Empire State Radiology P C
• Deborah Enea, RN,NPP
• William John Jude Engellenner, M.D.
• Denise Engrassia, PA
• Eric Fanaee MD PC
• Michael A Esemplare, RPH
• Gabriela Espinal-Santiago, MS., MT-BC, LCAT-LP
• Caitlin Esposito
• Mary Anne Esposito, PT, DPT

• Chiropractor in West Islip, NY
• Providers in West Islip, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.