Charles Joseph Cancellieri, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X00468-1 Issued in NY

Practice address

900 Walt Whitman Road
(Suite 100)
Melville, NY 11747

Phone

(631) 673-6464

Fax

(631) 673-6488

NPI assigned

Dec 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kinezix P.T.C Incorporated

  • Orthopedic Physical Therapist
  • Flushing, NY
  • NPI 1871475848
  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1528423944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN ROAD (SUITE 100)",
            "address_2": "(SUITE 100)",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-673-6464",
            "fax_number": "631-673-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN ROAD",
            "address_2": "(SUITE 100)",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-673-6464",
            "fax_number": "631-673-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCELLIERI",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X00468-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Campbell
• Cheri Lyn Campisi
• Toni Francis Campisi
• Jessica Campo
• Cancellieri Chiropractic PC
• Briana Candito
• Joshua Anthony Cangcuesta
• Dean Justin Cano I
• Deianeira Cansino
• Alyssa Cantor

• Chiropractor in Melville, NY
• Providers in Melville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.