Individual provider Active NPI

Michael Alexander Carducci, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1497899066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X10633 Issued in NY
Practice address
825 Avenue W
Brooklyn, NY 11223-5558
Phone
(718) 336-1810
Fax
(718) 627-9338
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X10633 NY Primary

Addresses

Primary practice location

825 Avenue W
Brooklyn, NY 11223-5558

Mailing address

28 Marine Ave
Brooklyn, NY 11209-6752
Phone (347) 578-4408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141020001574 NY Practitioner - Chiropractic 9133149354 Reassigns benefits to 3 organizations
I20160922001420 NJ Practitioner - Chiropractic 9133149354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2002
Medicare assignment
May accept Medicare assignment
Group practices
New York Chiropractic Family Care PCGroup PAC ID 6507217494, 4 clinicians
Central Jersey Chiropractic PCGroup PAC ID 8820217672, 3 clinicians
New Jersey Sports Chiropractic and Physical TherapyGroup PAC ID 7810473758, 5 clinicians
Mandarino Chiropractic PCGroup PAC ID 4688164007, 4 clinicians
Bay Ridge Chiropractic, Professional CorporationGroup PAC ID 6204221260, 2 clinicians

Practice addresses (Care Compare)

2052 Richmond Rd
Staten Island, NY 10306-2583
Phone (718) 667-2190

436 Route 79
Suite 21
Morganville, NJ 07751-9797
Phone (732) 617-8000

436 State Route 79
Suite 21
Morganville, NJ 07751-9797
Phone (432) 617-8000

9705 3Rd Ave
Brooklyn, NY 11209-7702
Phone (718) 748-9624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X10633NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Sports Chiropractic & Physical Therapy Chiropractor CurrentSince Nov 30, 2025 Accepting new patients
Bay Ridge Chiropractic, Professional Corporation Chiropractor CurrentSince Nov 30, 2021 Accepting new patients
New York Chiropractic Family Care PC Chiropractor CurrentSince Nov 8, 2023 Accepting new patients
Central Jersey Chiropractic, PC Chiropractor CurrentSince Jul 13, 2016 Accepting new patients
Mandarino Chiropractic PC CurrentSince Oct 1, 2025 Accepting new patients
Gravesend Medical Services,P.C. PastSince Sep 6, 2006 Accepting new patients
Advanced Physical Therapy of Merrick, PC Past Accepting new patients
Pain Management & Rehabilitative Physical Medicine, PC Past Accepting new patients
Garden State Physical Therapy & Sports Rehabilitation PastSince Apr 1, 2024 Accepting new patients

Locations

436 State Route 79
Ste 21
Morganville, NJ 07751
Phone (432) 617-8000

436 State Route 79
Morganville, NJ 07751
Phone (732) 617-8000

9705 3rd Ave
Brooklyn, NY 11209
Phone (718) 748-9624

2052 Richmond Rd
Staten Island, NY 10306
Phone (718) 351-6500

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497899066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MARINE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096752",
            "telephone_number": "347-578-4408",
            "fax_number": "718-627-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235558",
            "telephone_number": "718-336-1810",
            "fax_number": "718-627-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDUCCI",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X10633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.