Shoreline Family Chiropractic & Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001587 Issued in CT

Legal business name

SHORELINE FAMILY CHIROPRACTIC & WELLNESS

Practice address

16 Ocean Ave
West Haven, CT 06516-7048

Phone

(203) 932-4476

Fax

(203) 932-4176

NPI assigned

Mar 13, 2007

Last updated

Mar 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew D. Paterna, D.C.NPI 1811026768

Title

Owner

Phone

(203) 932-4476

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew D. Paterna, D.C.

  • Chiropractor
  • Milford, CT
  • NPI 1811026768
  Medicare reassignment NPD Authorized official
• Peter Joseph Braglia, DC

  • Chiropractor
  • Stratford, CT
  • NPI 1790818490
  NPD (past)
• Craig A. Cameron, D.C.

  • Chiropractor
  • West Haven, CT
  • NPI 1003419292
  NPD (past)
• Jiawei Fan, D.C.

  • Chiropractor
  • Milford, CT
  • NPI 1043084866
  NPD (past)
• Tyler O'Brien

  • Chiropractor
  • Milford, CT
  • NPI 1669318002
  NPD (past)
• Anthony Carmine Barbati, D.C.

  • Chiropractor
  • Massapequa, NY
  • NPI 1568236388
  NPD (past)
• Shaun M Briggs, D.C.

  • Chiropractor
  • Bangor, ME
  • NPI 1407128895
  NPD (past)
• Cami Lee Cleaveland, D.C

  • Chiropractor
  • Newton, MA
  • NPI 1831792027
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1730212457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OCEAN AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167048",
            "telephone_number": "203-932-4476",
            "fax_number": "203-932-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OCEAN AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167048",
            "telephone_number": "203-932-4476",
            "fax_number": "203-932-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE FAMILY CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "PATERNA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-932-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "350001371",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neysa Vivienne Shen, M.D
• Virginia Louise Sherrick, APRN, FNP-BC
• Barbara Shola
• Stephanie Shongut
• Shoreline Center for Social Learning, LLC
• Shoreline Social Learning
• Shoreline Wellness Behavioral Health Clinic, LLC
• Shoreline Wellness Behavioral Health Outreach Inc
• Shoreline Wellness Center, LLC.
• Marc J Shulman, PSY.D.

• Chiropractor in West Haven, CT
• Providers in West Haven, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.