Active NPI
Stephen Joseph Saroli, DC
- Chiropractor
- Patchogue, NY
National Provider Identifier
1689754061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005861
- Practice address
- 79 E Main St
Patchogue, NY 11772-3101 - Phone
- (631) 289-0088
- Fax
- (631) 289-6177
- NPI assigned
- Oct 17, 2006
- 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 | 005861 | NY | Primary |
Addresses
Primary practice location
79 E Main St
Patchogue, NY 11772-3101
Mailing address
79 E Main St
Patchogue, NY 11772-3101
Phone (631) 289-0088
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1689754061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 E MAIN ST",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723101",
"telephone_number": "631-289-0088",
"fax_number": "631-289-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 E MAIN ST",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723101",
"telephone_number": "631-289-0088",
"fax_number": "631-289-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAROLI",
"first_name": "STEPHEN",
"middle_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "005861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.