Organization Active NPI

Ceribelli Chiropractic, PC

  • Chiropractor
  • West Islip, NY
National Provider Identifier
1669606455
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004808 Issued in NY
Legal business name
CERIBELLI CHIROPRACTIC, PC
Practice address
1543 Madison Ave
West Islip, NY 11795-1722
Phone
(631) 587-2225
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Edmund F Ceribelli, DC
Title
Owner
Phone
(631) 587-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X004808 NY Primary

Addresses

Primary practice location

1543 Madison Ave
West Islip, NY 11795-1722

Mailing address

1543 Madison Ave
West Islip, NY 11795-1722
Phone (631) 587-2225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1669606455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 MADISON AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951722",
            "telephone_number": "631-587-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 MADISON AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951722",
            "telephone_number": "631-587-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERIBELLI CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "CERIBELLI",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-587-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.