Individual provider Active NPI

John Michael Terrizzi, D.C.

  • Chiropractor
  • New Windsor, NY
National Provider Identifier
1710042338
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3128 Issued in NY
Practice address
195 Windsor Hyway
New Windsor, NY 12553-4735
Phone
(845) 565-6007
Fax
(845) 565-7372
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X3128 NY Primary

Addresses

Primary practice location

195 Windsor Hyway
New Windsor, NY 12553-4735

Mailing address

PO Box 4735
New Windsor, NY 12553-0735
Phone (845) 565-6007

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

State licenses

LicenseStateTypeSpecialty
003128NYMDBehavioral Analyst
X3128NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1710042338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4735",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125530735",
            "telephone_number": "845-565-6007",
            "fax_number": "845-565-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WINDSOR HYWAY",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534735",
            "telephone_number": "845-565-6007",
            "fax_number": "845-565-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRIZZI",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.