Individual provider Active NPI

Ellen Louise Bialo, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1649310251
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X003457-1 Issued in NY
Practice address
175 W 76TH St Apt 1F
New York, NY 10023-8303
Phone
(212) 496-7246
Fax
(212) 496-1239
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X003457-1 NY Primary

Addresses

Primary practice location

175 W 76TH St Apt 1F
New York, NY 10023-8303

Mailing address

175 W 76TH St Apt 1F
New York, NY 10023-8303
Phone (212) 496-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000784 NY Practitioner - Chiropractic 7416020573 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

175 W 76TH St
New York, NY 10023-8303
Phone (212) 496-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X003457-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1649310251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 76TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238303",
            "telephone_number": "212-496-7246",
            "fax_number": "212-496-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 76TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238303",
            "telephone_number": "212-496-7246",
            "fax_number": "212-496-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALO",
        "first_name": "ELLEN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003457-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.