Marvin Family Chiropractic PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X008559-1 Issued in NY

Legal business name

MARVIN FAMILY CHIROPRACTIC PC

Practice address

37 E Central Ave
Pearl River, NY 10965-2306

Phone

(845) 735-4755

Fax

(845) 735-1055

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Russell Marvin, DCNPI 1710094933

Title

Owner

Phone

(845) 735-4755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Russell Marvin, DC

  • Sports Physician Chiropractor
  • Pearl River, NY
  • NPI 1710094933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1609054931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E CENTRAL AVE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652306",
            "telephone_number": "845-735-4755",
            "fax_number": "845-735-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E CENTRAL AVE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652306",
            "telephone_number": "845-735-4755",
            "fax_number": "845-735-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-735-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X008559-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markfcare
• Kayla Elizabeth Maroney
• Cara Terese Martin, CCC-SLP
• Chabeli Enid Martinez Jimenez
• Nicolina Maria Martini, PHARM.D
• Kenneth Russell Marvin, DC
• Preethy Mathew, PHARMACIST
• Eileen MC Aree
• Ramona A MC Carroll, LPN
• Ellen McCabe

• Sports Physician Chiropractor in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.