Marlissa Fondechene, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012676 Issued in NY

Practice address

199 Main St Ste 608
White Plains, NY 10601

Phone

(845) 513-6805

NPI assigned

Jun 12, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Elite Sports Chiropractic

  • Sports Physician Chiropractor
  • Merrick, NY
  • NPI 1043516933
  NPD
• Repair Recover Restore Chiropractic P.C.

  • Chiropractor
  • White Plains, NY
  • NPI 1265083745
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1609257955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17A MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663585",
            "telephone_number": "516-987-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST STE 608",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "845-513-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDECHENE",
        "first_name": "MARLISSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Florich-Bousche
• Michele Florio, RN
• Barbara L Flye, PHD
• Frederick Fokuo
• Aline Folefack
• Lauren Fonesca
• Iryn Obaldo Fontanosa, BSPT
• Bevene Foote, RN
• Footsteps to Wellness
• Bruno A Forcella, DDS

• Chiropractor in White Plains, NY
• Providers in White Plains, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.