Active NPI
Marie G Gerard, DC
- Chiropractor
- Elmont, NY
National Provider Identifier
1710052790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0075281
- Practice address
- 1 Cerenzia Blvd
Elmont, NY 11003-3627 - Phone
- (516) 616-5187
- Fax
- (516) 616-6655
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- 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 | X0075281 | NY | Primary |
Addresses
Primary practice location
1 Cerenzia Blvd
Elmont, NY 11003-3627
Mailing address
1 Cerenzia Blvd
Elmont, NY 11003-3627
Phone (516) 616-5187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02367242 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111028000457 | NY | Practitioner - Chiropractic | 7113190646 | Practice locations: Elmont, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Cerenzia Blvd
Elmont, NY 11003-3627
Phone (516) 616-5187
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0075281 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710052790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CERENZIA BLVD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033627",
"telephone_number": "516-616-5187",
"fax_number": "516-616-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CERENZIA BLVD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033627",
"telephone_number": "516-616-5187",
"fax_number": "516-616-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "MARIE",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0075281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02367242",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmont, 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.