Individual provider Active NPI

Anthony Puglisi, DC

  • Chiropractor
  • Slate Hill, NY
National Provider Identifier
1811485303
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013094 Issued in NY
Practice address
157 Stony Bar Rd
Slate Hill, NY 10973-4420
Phone
(845) 551-0395
NPI assigned
Apr 30, 2018
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013094 NY Primary

Addresses

Primary practice location

157 Stony Bar Rd
Slate Hill, NY 10973-4420

Mailing address

157 Stony Bar Rd
Slate Hill, NY 10973-4420
Phone (845) 551-0395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210001186 NY Practitioner - Chiropractic 6608110218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

78 Brookside Ave
Suite 148
Chester, NY 10918-1060
Phone (845) 610-5452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Chiropractic P.C. Chiropractor CurrentSince Oct 3, 2018 Accepting new patients

Locations

78 Brookside Ave
Ste 148
Chester, NY 10918
Phone (845) 610-5452

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1811485303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 STONY BAR RD",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109734420",
            "telephone_number": "845-551-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 STONY BAR RD",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109734420",
            "telephone_number": "845-551-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLISI",
        "first_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slate Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.