Active NPI
Phoebe Sampayo
- Chiropractor
- New York, NY
National Provider Identifier
1710283247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- N/A
- Practice address
- 30 Wall St
Suite 500
New York, NY 10005-2201 - Phone
- (212) 742-8000
- Fax
- (212) 742-1557
- NPI assigned
- Feb 1, 2011
- Sex
- Female
- 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 | N/A | NY | Primary |
Addresses
Primary practice location
30 Wall St
Suite 500
New York, NY 10005-2201
Mailing address
30 Wall St
Suite 500
New York, NY 10005-2201
Phone (212) 742-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21001 N Tatum Blvd
Suite 78 1640
Phoenix, AZ 85050-5244
Phone (480) 926-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Ridge Medical Group | Chiropractor | Current | Accepting new patients |
| Ocotillo Medical Group LLC | Chiropractor | Past | Accepting new patients |
| Desert Ridge Angic LLC | Chiropractor | Past | Accepting new patients |
| Litchfield Medical Group LLC | Chiropractor | Past | Accepting new patients |
| Ocotillo Health Centers, LLC | Chiropractor | Past | Accepting new patients |
Locations
21001 N Tatum Blvd
Ste 78-1640
Phoenix, AZ 85050
Phone (480) 306-7832
21001 N Tatum Blvd
Ste 78
Phoenix, AZ 85050
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1710283247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WALL ST",
"address_2": "SUITE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052201",
"telephone_number": "212-742-8000",
"fax_number": "212-742-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WALL ST",
"address_2": "SUITE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052201",
"telephone_number": "212-742-8000",
"fax_number": "212-742-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPAYO",
"first_name": "PHOEBE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.