Active NPI
Charles Fiscella, D.C.
- Chiropractor
- Wantagh, NY
National Provider Identifier
1720145519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2722
- Practice address
- 3351 Park Ave
Wantagh, NY 11793-3716 - Phone
- (516) 221-2125
- Fax
- (516) 221-2114
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- 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 | 2722 | NY | Primary |
Addresses
Primary practice location
3351 Park Ave
Wantagh, NY 11793-3716
Mailing address
3351 Park Ave
Wantagh, NY 11793-3716
Phone (516) 221-2125
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2722 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720145519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 PARK AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933716",
"telephone_number": "516-221-2125",
"fax_number": "516-221-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 PARK AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933716",
"telephone_number": "516-221-2125",
"fax_number": "516-221-2114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCELLA",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "2722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wantagh, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.