Organization Active NPI

Coastal Care Chiropractic

Doing business as babylon village chiropractic

  • Chiropractor
  • Babylon, NY
National Provider Identifier
1740460179
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008493 Issued in NY
Legal business name
COASTAL CARE CHIROPRACTIC
Doing business as
babylon village chiropractic
Practice address
170 E Main St
Babylon, NY 11702-3510
Phone
(631) 422-0022
Fax
(631) 422-0051
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Matthew Albert Alicanti, D.C.NPI 1104971985
Title
Chiropractor
Phone
(631) 422-0022

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 X008493 NY Primary

Addresses

Primary practice location

170 E Main St
Babylon, NY 11702-3510

Mailing address

170 E Main St
Babylon, NY 11702-3510
Phone (631) 422-0022

Other names 1

  • babylon village chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051012000623 NY Part B Supplier - Clinic/Group Practice 9032134671 Receives reassigned benefits from 1 practitioner
Practice locations: Babylon, NY

National Provider Directory

National Provider Directory

Locations

170 E Main St
Babylon, NY 11702
Phone (631) 422-0022

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1740460179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023510",
            "telephone_number": "631-422-0022",
            "fax_number": "631-422-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023510",
            "telephone_number": "631-422-0022",
            "fax_number": "631-422-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ALICANTI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "631-422-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "babylon village chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.