Individual provider Active NPI

Susan Elizabeth Marafino, D.C.

  • Chiropractor
  • Hamilton, NY
National Provider Identifier
1508940818
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008099 Issued in NY
Practice address
23 Broad St
Hamilton, NY 13346-1303
Phone
(315) 824-2504
Fax
(315) 824-2504
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008099 NY Primary

Addresses

Primary practice location

23 Broad St
Hamilton, NY 13346-1303

Mailing address

23 Broad St
Hamilton, NY 13346-1303
Phone (315) 824-2504

Other identifiers 1

IdentifierTypeStateIssuer
X008099OtherNYNYS LICENSE #

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

LicenseStateTypeSpecialty
008099NYMDMental Health Counselor
X008099NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1508940818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461303",
            "telephone_number": "315-824-2504",
            "fax_number": "315-824-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461303",
            "telephone_number": "315-824-2504",
            "fax_number": "315-824-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAFINO",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE #",
            "identifier": "X008099",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.