Michael C Raucci, D.C., D.I.B.C.N.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

X007742 Issued in NY

Practice address

42 Simon Dr
Walden, NY 12586-2112

Phone

(845) 744-8050

Fax

(845) 744-5129

NPI assigned

Dec 26, 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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649335050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SIMON DR",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862112",
            "telephone_number": "845-744-8050",
            "fax_number": "845-744-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SIMON DR",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862112",
            "telephone_number": "845-744-8050",
            "fax_number": "845-744-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCCI",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C., D.I.B.C.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X007742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingeborg Porco
• Susan S Qu, RPH
• Edgard Quinones, MD
• Patricia J Quinones, PHYSICIAN ASSISTANT
• Lori S Randolph, M.S.ED
• Crystle Regulbuto, MS IN EDUCATION
• Shanita Michelle Reynolds, RN,MSN,CMSRN,NE-BC
• Lorina Robles
• Ellen Sue Rodas, SLP MS CCC
• Heather Roell

• Neurology Chiropractor in Walden, NY
• Providers in Walden, NY by specialty
• Neurology Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.