Active NPI
David John Paoletta, DC
- Chiropractor
- Lindenhurst, NY
National Provider Identifier
1699868976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X004294
- Practice address
- 236 Sunrise Hwy
Lindenhurst, NY 11757-2514 - Phone
- (631) 957-1717
- Fax
- (631) 957-4515
- NPI assigned
- Oct 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | X004294 | NY | Primary |
Addresses
Primary practice location
236 Sunrise Hwy
Lindenhurst, NY 11757-2514
Mailing address
41 Seabreeze Ave
Westhampton, NY 11977-1111
Phone (631) 288-5516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040401000079 | NY | Practitioner - Chiropractic | 4587656335 | Practice locations: Lindenhurst, NY; Westhampton, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
236 E Sunrise Hwy
Lindenhurst, NY 11757-2503
Phone (631) 957-1717
236 Sunrise Hwy
Lindenhurst, NY 11757
41 Seabreeze Ave
Westhampton, NY 11977-1111
Phone (631) 288-5516
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004294 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699868976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 SEABREEZE AVE",
"city": "WESTHAMPTON",
"state": "NY",
"postal_code": "119771111",
"telephone_number": "631-288-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 SUNRISE HWY",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117572514",
"telephone_number": "631-957-1717",
"fax_number": "631-957-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLETTA",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X004294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- 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.