Active NPI
Lisa A Megna Vicinanzo, DC
- Chiropractor
- Albany, NY
National Provider Identifier
1548320385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0063451
- Practice address
- 959 Washington Ave
Albany, NY 12206 - Phone
- (518) 489-4811
- Fax
- (518) 489-6200
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | X0063451 | NY | Primary |
Addresses
Primary practice location
959 Washington Ave
Albany, NY 12206
Mailing address
959 Washington Ave
Albany, NY 12206
Phone (518) 489-4811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X5570 | Other | NY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2093 Western Ave
Guilderland, NY 12084-9559
Phone (518) 489-4811
349 Mannys Corners Rd
Amsterdam, NY 12010-7315
Phone (518) 843-5710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0063451 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa a. Megna-Vicinanzo DC PC | Chiropractor | Current | Accepting new patients |
Locations
959 Washington Ave
Albany, NY 12206
Phone (518) 489-4811
349 Mannys Corners Rd
Amsterdam, NY 12010
Phone (518) 224-8019
Organizations & group practices 1
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.
-
- Chiropractor
- Albany, NY
- NPI 1740498781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548320385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 WASHINGTON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12206",
"telephone_number": "518-489-4811",
"fax_number": "518-489-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 WASHINGTON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12206",
"telephone_number": "518-489-4811",
"fax_number": "518-489-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGNA VICINANZO",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0063451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "X5570",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.