Individual provider Active NPI

James N Alise, DC

  • Chiropractor
  • Ithaca, NY
National Provider Identifier
1700985579
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011015-1 Issued in NY
Practice address
821 Cliff St
Ithaca, NY 14850-2097
Phone
(607) 227-2623
Fax
(833) 803-3431
NPI assigned
Sep 21, 2006
Last updated
Jun 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011015-1 NY Primary

Addresses

Primary practice location

821 Cliff St
Ithaca, NY 14850-2097

Mailing address

104 Haller Blvd
Ithaca, NY 14850-3030
Phone (607) 227-2623

Other practice location 1

217 Commercial Ave
Suite #4
Ithaca, NY 14850-5118
Phone (607) 227-2623

Other practice location 2

402 3rd St Ste 2
Ithaca, NY 14850-3484
Phone (607) 227-2623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000478 NY Practitioner - Chiropractic 0749236198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

376 Elmira Rd
Suite 100
Ithaca, NY 14850-5115
Phone (607) 227-2623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011015-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alise Chiropractic Health & Wellness, PLLC Chiropractor CurrentSince May 9, 2005 Accepting new patients
Finger Lakes Physical Therapy PC CurrentSince Jul 25, 2021 Accepting new patients

Locations

217 Commercial Ave
Ste 4
Ithaca, NY 14850
Phone (607) 227-2623

376 Elmira Rd
#100
Ithaca, NY 14850
Phone (607) 227-2623

402 3rd St
Ste 2
Ithaca, NY 14850
Phone (607) 272-9937

821 Cliff St
Ithaca, NY 14850
Phone (607) 256-7546

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1700985579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HALLER BLVD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503030",
            "telephone_number": "607-227-2623",
            "fax_number": "833-803-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 CLIFF ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502097",
            "telephone_number": "607-227-2623",
            "fax_number": "833-803-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Commercial Ave",
            "address_2": "Suite #4",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505118",
            "country_code": "US",
            "telephone_number": "607-227-2623",
            "fax_number": "607-227-2623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 3rd St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148503484",
            "country_code": "US",
            "telephone_number": "607-227-2623",
            "fax_number": "607-273-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALISE",
        "first_name": "JAMES",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011015-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.

Verify at the official NPI Registry.