Renold J Statler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008481-1 Issued in NY

Practice address

979 Route 22 Ste B
Brewster, NY 10509-1526

Phone

(845) 279-4300

Fax

(845) 582-0293

NPI assigned

Feb 27, 2006

Last updated

Dec 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Rennie J Statler Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Chiropractic Wellness CareGroup PAC ID 2264684034, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Chiropractic Wellness Care

  • Chiropractor
  • Brewster, NY
  • NPI 1962765735
  Medicare reassignment Care Compare group NPD
• Connecticut Family Chiropractic Corporation PC

  • Chiropractor
  • Danbury, CT
  • NPI 1548202674
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1750357851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053256",
            "telephone_number": "914-963-7878",
            "fax_number": "914-476-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 ROUTE 22 STE B",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091526",
            "telephone_number": "845-279-4300",
            "fax_number": "845-582-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107053256",
            "country_code": "US",
            "telephone_number": "914-963-7878",
            "fax_number": "914-476-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATLER",
        "first_name": "RENOLD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001215",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008481-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10442835",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "X7A852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENNIE",
            "last_name": "STATLER",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Speed, LPN
• Amanda Spiegel, R.N.
• Brooke Spofford
• St. Luke's Cornwall Hospital
• State of New York Comptrollers Office
• Lawrence Stein, DDS
• Lyndsey Stephanic
• Daniel Stephens, P.A.
• Susan M Strain, R.N.
• Michel Tulimero Straughen

• Chiropractor in Brewster, NY
• Providers in Brewster, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.

Verify at the official NPI Registry.