Serenity Source Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

70 008936 Issued in NY

Legal business name

SERENITY SOURCE CHIROPRACTIC

Practice address

18 Weeks St
Suite a
Blue Point, NY 11715-1513

Phone

(904) 290-1846

Fax

(904) 417-7177

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Labbadia, DC

Title

Vice President

Phone

(904) 290-1846

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Tanza Jr., DC

  • Chiropractor
  • Saint Augustine, FL
  • NPI 1083779557
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1700156643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TUSCAN WAY",
            "address_2": "SUITE 202-148",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921850",
            "telephone_number": "904-290-1846",
            "fax_number": "904-417-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WEEKS ST",
            "address_2": "SUITE A",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151513",
            "telephone_number": "904-290-1846",
            "fax_number": "904-417-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SOURCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "LABBADIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-290-1846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70 008936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Scarpati, MS, CCC-SLP
• Patrick K Schipp, RN
• Molly Rae Sckalor, M.S. CF-SLP
• Polina Selnikova
• Adam Senese
• Serenity Source Chiropractic & Massage PLLC
• Serenity Source Massage Corp
• Serenity Source Physical Therapy, Chiropractic&Massage PLLC
• Corinne Patrice Serrian
• Emilyann Tyler Shergalis, RN

• Chiropractor in Blue Point, NY
• Providers in Blue Point, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.