Organization Active NPI

Mollo Chiropractic, PLLC

  • Chiropractor
  • Deer Park, NY
National Provider Identifier
1801802632
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009495 Issued in NY
Legal business name
MOLLO CHIROPRACTIC, PLLC
Practice address
2100 Deer Park Ave
Suite 8
Deer Park, NY 11729-2119
Phone
(631) 940-8739
Fax
(631) 940-8740
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Darren Thomas Mollo, D.C.NPI 1255365821
Title
Owner, Chiropractor
Phone
(631) 940-8739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009495 NY Primary

Addresses

Primary practice location

2100 Deer Park Ave
Suite 8
Deer Park, NY 11729-2119

Mailing address

2100 Deer Park Ave
Suite 8
Deer Park, NY 11729-2119
Phone (631) 940-8739

National Provider Directory

National Provider Directory

Locations

8243 Jericho Tpke
Ste 260B
Woodbury, NY 11797
Phone (516) 367-4444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1801802632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DEER PARK AVE",
            "address_2": "SUITE 8",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292119",
            "telephone_number": "631-940-8739",
            "fax_number": "631-940-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DEER PARK AVE",
            "address_2": "SUITE 8",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292119",
            "telephone_number": "631-940-8739",
            "fax_number": "631-940-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLO CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "MOLLO",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "631-940-8739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.