Richard P Biondi, DC
Individual provider Active NPI Chiropractor · Mamaroneck, NY
NPI 1508949702 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1508949702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X0090561 (NY)
- Practice address
- 875 Mamaroneck Ave Ste 102
Mamaroneck, NY 10543-1976 - Phone
- (914) 381-7575
- Fax
- (877) 900-5184
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
875 Mamaroneck Ave
Suite 102
Mamaroneck, NY 10543-1976
Phone (914) 381-7575
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051011000482 | NY | Practitioner - Chiropractic | 7315962198 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0090561 | NY | MD | Chiropractor |
| X009056-1 | NY | MD | Sports Physician Chiropractor |
| 009056 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Sports & Spine Chiropractic, LLC | Chiropractor | Current |
Accepting new patients |
Locations
875 Mamaroneck Ave
Ste 102
Mamaroneck, NY 10543
Phone (914) 381-7575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X009056-1 | NY | |
| Sports Physician Chiropractor | 111NS0005X | X009056-1 | NY | |
| Chiropractor | 111N00000X | X0090561 | NY | Yes |
Addresses
Primary practice location
875 Mamaroneck Ave Ste 102
Mamaroneck, NY 10543-1976
Mailing address
875 Mamaroneck Ave Ste 102
Mamaroneck, NY 10543-1976
Phone (914) 381-7575
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.