Active NPI
Nicholas Anthony Perrino, D.C.
- Chiropractor
- Endwell, NY
National Provider Identifier
1629394739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0118571
- Practice address
- 3401 E Main St
Endwell, NY 13760-5978 - Phone
- (607) 239-5494
- Fax
- (607) 239-6275
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0118571 | NY | Primary |
Addresses
Primary practice location
3401 E Main St
Endwell, NY 13760-5978
Mailing address
3401 E Main St
Endwell, NY 13760-5978
Phone (607) 239-5494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3401 E Main St
Endwell, NY 13760-5978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0118571 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perrino Family Chiropractic | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Endwell, NY
- NPI 1285063107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1629394739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 E MAIN ST",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137605978",
"telephone_number": "607-239-5494",
"fax_number": "607-239-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 E MAIN ST",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137605978",
"telephone_number": "607-239-5494",
"fax_number": "607-239-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRINO",
"first_name": "NICHOLAS",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0118571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.