Active NPI
Performance Health of Rochester
- Chiropractor
- Rochester, NY
National Provider Identifier
1508452228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PERFORMANCE HEALTH OF ROCHESTER
- Practice address
- 103 Canal Landing Blvd Ste 10
Rochester, NY 14626-5108 - Phone
- (201) 962-9066
- NPI assigned
- Dec 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Ingui, DC
- Title
- Owner
- Phone
- (201) 264-9126
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
103 Canal Landing Blvd Ste 10
Rochester, NY 14626-5108
Mailing address
46 N Central Ave
Ramsey, NJ 07446-1864
Phone (201) 962-9066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124419486 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staff@phiscnj.com |
National Provider Directory
National Provider DirectoryLocations
2316 Lyell Ave
Ste 2
Rochester, NY 14606
Phone (585) 429-5100
103 Canal Landing Blvd
Ste 10
Rochester, NY 14626
Phone (201) 962-9066
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Ramsey, NJ
- NPI 1124419486
-
- Chiropractor
- Rochester, NY
- NPI 1184248999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608076800000",
"number": "1508452228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 N CENTRAL AVE",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074461864",
"telephone_number": "201-962-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CANAL LANDING BLVD STE 10",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146265108",
"telephone_number": "201-962-9066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE HEALTH OF ROCHESTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A",
"authorized_official_last_name": "INGUI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-264-9126",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124419486",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "staff@phiscnj.com",
"affiliation": "N",
"address_1": "103 Canal Landing Blvd Ste 10",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146265108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.