Individual provider Active NPI

Marianne Messina, D.C.

  • Chiropractor
  • Yorktown Heights, NY
National Provider Identifier
1750453189
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004790-2 Issued in NY
Practice address
2050 Saw Mill River Rd
Yorktown Heights, NY 10598-4143
Phone
(914) 962-0100
Fax
(914) 962-0105
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004790-2 NY Primary
Chiropractor 111N00000X 38MC00637100 NJ

Addresses

Primary practice location

2050 Saw Mill River Rd
Yorktown Heights, NY 10598-4143

Mailing address

172 Campbell Rd
Yorktown Heights, NY 10598-1810
Phone (914) 962-7993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001190 NY Practitioner - Chiropractic 3779556949 Reassigns benefits to 1 organization
Practice locations: Cortlandt Manor, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2127 Crompond Rd
Suite 104
Cortlandt Manor, NY 10567-4328
Phone (914) 309-4741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00637100NJMDChiropractor
X004790-2NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Sports Rehabilitation PLLC Chiropractor CurrentSince Nov 4, 2014 Accepting new patients
Physical Therapy & Sports Chiropractic of Yorktown, PLLC Chiropractor Past Accepting new patients

Locations

2127 Crompond Rd
Ste 104
Cortlandt Mnr, NY 10567
Phone (914) 245-3091

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1750453189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CAMPBELL RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981810",
            "telephone_number": "914-962-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984143",
            "telephone_number": "914-962-0100",
            "fax_number": "914-962-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004790-2",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00637100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.