NPIMap

Organization Active NPI

Natural Life Chiropractic Care PC

Doing business as Spine Care

  • Chiropractor
  • Scarsdale, NY
National Provider Identifier
1730270174
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0101671 Issued in NY
Legal business name
NATURAL LIFE CHIROPRACTIC CARE PC
Doing business as
Spine Care
Practice address
83 Montgomery Ave
Floor 1
Scarsdale, NY 10583-5104
Phone
(914) 961-7575
Fax
(914) 961-8489
NPI assigned
Sep 28, 2006
Last updated
Jul 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Dr. Marco Agostino Caruso, DCNPI 1346421708
Title
President of PC
Phone
(914) 961-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X0101671 NY Primary

Addresses

Primary practice location

83 Montgomery Ave
Floor 1
Scarsdale, NY 10583-5104

Mailing address

83 Montgomery Ave
Floor 1
Scarsdale, NY 10583-5104
Phone (914) 961-7575

Other names 1

  • Spine Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110808000654 NY Part B Supplier - Clinic/Group Practice 5597960096 Receives reassigned benefits from 2 practitioners
Practice locations: Scarsdale, NY

National Provider Directory

National Provider Directory

Locations

83 Montgomery Ave
Fl 1
Scarsdale, NY 10583
Phone (914) 961-7575

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1730270174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MONTGOMERY AVE",
            "address_2": "FLOOR 1",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835104",
            "telephone_number": "914-961-7575",
            "fax_number": "914-961-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MONTGOMERY AVE",
            "address_2": "FLOOR 1",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835104",
            "telephone_number": "914-961-7575",
            "fax_number": "914-961-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL LIFE CHIROPRACTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "AGOSTINO",
        "authorized_official_title_or_position": "PRESIDENT OF PC",
        "authorized_official_telephone_number": "914-961-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0101671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.