Active NPI
Paul Christopher Maselli, D.C.
- Chiropractor
- Bronx, NY
National Provider Identifier
1821173014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010784-1
- Practice address
- 2488 Grand Concourse RM 310
Bronx, NY 10458-5209 - Phone
- (718) 733-1000
- Fax
- (718) 733-0351
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010784 | NY | |
| Chiropractor | 111N00000X | X010784-1 | NY | Primary |
Addresses
Primary practice location
2488 Grand Concourse RM 310
Bronx, NY 10458-5209
Mailing address
57 MC Nair Dr
Mahopac, NY 10541-3779
Phone (845) 304-9237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010784 | NY | MD | Chiropractor |
| X010784-1 | NY | MD | Chiropractor |
| 010784 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syosset Chiropractic Associates PC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Syosset, NY
- NPI 1548576432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1821173014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 MC NAIR DR",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105413779",
"telephone_number": "845-304-9237",
"fax_number": "914-686-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2488 GRAND CONCOURSE RM 310",
"city": "BRONX",
"state": "NY",
"postal_code": "104585209",
"telephone_number": "718-733-1000",
"fax_number": "718-733-0351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASELLI",
"first_name": "PAUL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010784",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010784-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.