Organization Active NPI

Marotta Health and Wellness Chiropractic PLLC

  • Chiropractor
  • Clifton Park, NY
National Provider Identifier
1528239290
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011500 Issued in NY
Legal business name
MAROTTA HEALTH AND WELLNESS CHIROPRACTIC PLLC
Practice address
939 Route 146
#230
Clifton Park, NY 12065-3662
Phone
(518) 357-3347
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. Antonio VR Marotta, D.C.NPI 1568667210
Title
Owner
Phone
(518) 357-3347

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 X011500 NY Primary

Addresses

Primary practice location

939 Route 146
#230
Clifton Park, NY 12065-3662

Mailing address

939 Route 146
#230
Clifton Park, NY 12065-3662
Phone (518) 357-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080423000242 NY Part B Supplier - Clinic/Group Practice 9638257249 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton Park, NY

National Provider Directory

National Provider Directory

Locations

939 Route 146
Ste 230
Clifton Park, NY 12065
Phone (518) 357-3347

Practitioners & affiliated clinicians

Practitioners 1

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1528239290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146",
            "address_2": "#230",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653662",
            "telephone_number": "518-357-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146",
            "address_2": "#230",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653662",
            "telephone_number": "518-357-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAROTTA HEALTH AND WELLNESS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "MAROTTA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "VR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-357-3347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.