Individual provider Active NPI

Donna Marie Petruzzi, D.C.

  • Chiropractor
  • Hopewell Junction, NY
National Provider Identifier
1558547364
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008065-1 Issued in NY
Practice address
822 Route 82
Ste 2
Hopewell Junction, NY 12533-7374
Phone
(845) 592-2803
Fax
(845) 592-1282
NPI assigned
Jan 11, 2008
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 008065 NY
Chiropractor 111N00000X X008065-1 NY Primary

Addresses

Primary practice location

822 Route 82
Ste 2
Hopewell Junction, NY 12533-7374

Mailing address

822 Route 82
Ste 2
Hopewell Junction, NY 12533-7374
Phone (845) 592-2803

Other names 1

  • Dr. Donna M Carpentiere Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801003095 NY Practitioner - Chiropractic 0840561312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

822 Main St
Suite 2
Hopewell Junction, NY 12533-2321
Phone (845) 592-2803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008065NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Chiropractic Care, P.C. Chiropractor CurrentSince Jun 6, 2017 Accepting new patients

Locations

822 Main St
Ste 2
Hopewell Junction, NY 12533
Phone (845) 223-8511

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1558547364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 ROUTE 82",
            "address_2": "STE 2",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337374",
            "telephone_number": "845-592-2803",
            "fax_number": "845-592-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 ROUTE 82",
            "address_2": "STE 2",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337374",
            "telephone_number": "845-592-2803",
            "fax_number": "845-592-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZI",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "008065",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008065-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "CARPENTIERE",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.

Verify at the official NPI Registry.