Active NPI
Jeffrey A Scaccio, DC
- Chiropractor
- Shirley, NY
National Provider Identifier
1508910720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X002294
- Practice address
- 944 Montauk Hwy
Shirley, NY 11967-2120 - Phone
- (631) 281-5116
- Fax
- (631) 281-5165
- NPI assigned
- Jan 23, 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 | X002294 | NY | Primary |
Addresses
Primary practice location
944 Montauk Hwy
Shirley, NY 11967-2120
Mailing address
944 Montauk Hwy
Shirley, NY 11967-2120
Phone (631) 281-5116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X002294 | NY | MD | Chiropractor |
| 002294 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508910720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 MONTAUK HWY",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119672120",
"telephone_number": "631-281-5116",
"fax_number": "631-281-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 MONTAUK HWY",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119672120",
"telephone_number": "631-281-5116",
"fax_number": "631-281-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCACCIO",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X002294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shirley, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.