Organization Active NPI

Claudine Mankiewicz Chiropractor PC

  • Chiropractor
  • Hawthorne, NY
National Provider Identifier
1801376447
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007721 Issued in NY
Legal business name
CLAUDINE MANKIEWICZ CHIROPRACTOR PC
Practice address
40 Broadway
Hawthorne, NY 10532-1202
Phone
(914) 747-7677
Fax
(914) 747-7277
NPI assigned
Aug 14, 2018
Last updated
Aug 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Mrs. Viviana Pesce
Title
Billing Coordinator
Phone
(845) 419-8507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X007721 NY Primary

Addresses

Primary practice location

40 Broadway
Hawthorne, NY 10532-1202

Mailing address

40 Broadway
Hawthorne, NY 10532-1202
Phone (914) 747-7677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410000651 NY Part B Supplier - Clinic/Group Practice 9830430305 Receives reassigned benefits from 1 practitioner
Practice locations: Hawthorne, NY

National Provider Directory

National Provider Directory

Locations

40 Broadway
Hawthorne, NY 10532
Phone (914) 747-7677

Practitioners & affiliated clinicians

Practitioners 1

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": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1801376447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROADWAY",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321202",
            "telephone_number": "914-747-7677",
            "fax_number": "914-747-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BROADWAY",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321202",
            "telephone_number": "914-747-7677",
            "fax_number": "914-747-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDINE MANKIEWICZ CHIROPRACTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "VIVIANA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "845-419-8507",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.