Active NPI
Stephane Roy, D.C.
- Chiropractor
- Vernon, NJ
National Provider Identifier
1508057969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00624300
- Practice address
- 529 Route 515
Ste 102
Vernon, NJ 07462 - Phone
- (973) 764-1513
- NPI assigned
- Aug 9, 2007
- Last updated
- Aug 9, 2007
- Sex
- Male
- 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 | 38MC00624300 | NJ | Primary |
Addresses
Primary practice location
529 Route 515
Ste 102
Vernon, NJ 07462
Mailing address
314 Mountain Rd
Cornwall on Hudson, NY 12520-1806
Phone (973) 764-1513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
403 S Baldwin St
Woodland Park, CO 80863-3154
Phone (719) 888-9430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011476 | NY | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S T Burns Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Back In Motion Family and Sports Chiropractic
- Chiropractor
- Potsdam, NY
- NPI 1205232105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1508057969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 MOUNTAIN RD",
"city": "CORNWALL ON HUDSON",
"state": "NY",
"postal_code": "125201806",
"telephone_number": "973-764-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 ROUTE 515",
"address_2": "STE 102",
"city": "VERNON",
"state": "NJ",
"postal_code": "07462",
"telephone_number": "973-764-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "STEPHANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00624300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, NJ
- Primary Care Partners, LLC (Pasquale J. Yaccarino, MD- Primary Care Partners Affiliate)
- Reenergize Counseling Services
- Lois Ann Reinhardt, RN,MA,LPC
- Lauren Rhoades, P.T.
- Stephanie Liliana Rodriguez, R.T.
- Gurbir Singh Saluja
- Gurmit Singh Saluja, M.D.
- Manmohan Kaur Saluja, M.D.
- Edward Sandgran, P.T.
- Eugene Santos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.