Active NPI
Christina Ippolito, DC, MS, L.AC
- Chiropractor
- New York, NY
National Provider Identifier
1659787729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 70 012360
- Practice address
- 36 Rivington Street
New York, NY 10002 - Phone
- (212) 945-7300
- Fax
- (646) 276-4468
- NPI assigned
- Jul 9, 2014
- Last updated
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 70 012360 | NY | Primary |
| Chiropractor | 111N00000X | 38MC00720900 | NJ | |
| Acupuncturist | 171100000X | 25 005313 | NY | |
| Acupuncturist | 171100000X | 25MZ00112500 | NJ |
Addresses
Primary practice location
36 Rivington Street
New York, NY 10002
Mailing address
36 Rivington Street
New York, NY 10002
Phone (212) 945-7300
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00720900 | NJ | MD | Chiropractor |
| 70 012360 | NY | MD | Chiropractor |
| 3566 | MA | MD | Registered Dietitian |
| 25MZ00112500 | NJ | MD | Acupuncturist |
| 25 005313 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Health and Wellness | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1659787729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 RIVINGTON STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "212-945-7300",
"fax_number": "646-276-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 RIVINGTON STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "212-945-7300",
"fax_number": "646-276-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPPOLITO",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "DC, MS, L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "70 012360",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00720900",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "25 005313",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00112500",
"primary": false
}
],
"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 Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.