Edward J. Stockli, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007746-1 Issued in NY

Legal business name

EDWARD J. STOCKLI, D.C., P.C.

Doing business as

Cornerstone Chiropractic

Practice address

12 Cavalin Dr
Montgomery, NY 12549-2235

Phone

(845) 457-4447

Fax

(845) 457-1785

NPI assigned

Jun 20, 2011

Last updated

Jun 20, 2011By 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

Donna Vitucci

Title

Office Manager

Phone

(845) 457-4447

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Edward J Stockli, D C PC

  • Chiropractor
  • Montgomery, NY
  • NPI 1073505368
  Medicare reassignment NPD
• Christian Edward Stockli, DC

  • Chiropractor
  • Montgomery, NY
  • NPI 1477321404
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1801182795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAVALIN DR",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492235",
            "telephone_number": "845-457-4447",
            "fax_number": "845-457-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAVALIN DR",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492235",
            "telephone_number": "845-457-4447",
            "fax_number": "845-457-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. STOCKLI, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "VITUCCI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-457-4447"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007746-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Dorn, LCSW
• Linda L Douthart, LCSWR
• Dreamers Transportation LLC
• Michelle Dymond, RN
• Eckerd Corporation (Rite Aid Pharmacy 10708)
• Shelby Ann Eller
• Simone Althea Ercoline, M.S. ED CCC-SLP
• Sterling Escoto
• Michelle Ying Ming Farningham
• Christine Fenner, RN

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

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