Vito Eliseo Dimatteo, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X010707-1 Issued in NY

Practice address

875 Mamaroneck Ave
Suite102
Mamaroneck, NY 10543-1900

Phone

(914) 381-7575

Fax

(914) 381-7578

NPI assigned

Nov 1, 2006

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

Not listed in the public Medicare enrollment file

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.

• Chiropractic Associate P.C.

  • Chiropractor
  • Harrison, NY
  • NPI 1043478076
  NPD (past)
• New York Sports & Spine Chiropractic, LLC

  • Chiropractor
  • Mamaroneck, NY
  • NPI 1669838447
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609953405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MAMARONECK AVE",
            "address_2": "SUITE102",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431900",
            "telephone_number": "914-381-7575",
            "fax_number": "914-381-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MAMARONECK AVE",
            "address_2": "SUITE102",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431900",
            "telephone_number": "914-381-7575",
            "fax_number": "914-381-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMATTEO",
        "first_name": "VITO",
        "middle_name": "ELISEO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X010707-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Devivo
• Martin H Diamond, DMD
• Bricenia Diaz
• Dior J Diaz
• Catherine Difalco, OPTICIAN
• Adam Discepolo, DPT
• Divine Flow Healing LLC
• Carol A Donohue, DC
• Margaret Dwyer Donohue, RN
• Ianni Douglas

• All providers in Mamaroneck, NY
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.