Individual provider Active NPI

Paul Marinuzzi Jr., DC

  • Chiropractor
  • Utica, NY
National Provider Identifier
1629374160
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
70012119 Issued in NY
Practice address
9841 River Rd
Ste 2
Utica, NY 13502-2358
Phone
(315) 534-3864
Fax
(315) 400-0931
NPI assigned
Feb 1, 2011
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 70012119 NY Primary

Addresses

Primary practice location

9841 River Rd
Ste 2
Utica, NY 13502-2358

Mailing address

24 Riverside Dr
Utica, NY 13502-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012119NYMDMental Health Counselor
70012119NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1629374160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RIVERSIDE DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 RIVER RD",
            "address_2": "STE 2",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022358",
            "telephone_number": "315-534-3864",
            "fax_number": "315-400-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINUZZI",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70012119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.