Active NPI
Cooper John Sciascia, D.C.
- Chiropractor
- Staten Island, NY
National Provider Identifier
1801537766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013582
- Practice address
- 1313 Clove Rd
Staten Island, NY 10301-4338 - Phone
- (718) 448-0687
- Fax
- (718) 448-3463
- NPI assigned
- Apr 5, 2022
- Last updated
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 013582 | NY | Primary |
Addresses
Primary practice location
1313 Clove Rd
Staten Island, NY 10301-4338
Mailing address
1313 Clove Rd
Staten Island, NY 10301-4338
Phone (718) 448-0687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
116 Miln St
Cranford, NJ 07016-2141
Phone (908) 653-1440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013582 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Sciascia DC LLC | Chiropractor | Current | Accepting new patients |
Locations
116 Miln St
Cranford, NJ 07016
Phone (908) 577-7185
1313 Clove Rd
Staten Island, NY 10301
Phone (718) 273-1101
Organizations & group practices 1
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": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1801537766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103014338",
"telephone_number": "718-448-0687",
"fax_number": "718-448-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103014338",
"telephone_number": "718-448-0687",
"fax_number": "718-448-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIASCIA",
"first_name": "COOPER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "013582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.