Organization Active NPI

Performance Health of Rochester

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1508452228
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Dr. Michael Ingui, DCNPI 1124419486
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1124419486OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff@phiscnj.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.