Individual provider Active NPI

Alison Janice Pellicane, D.C.

  • Chiropractor
  • West Babylon, NY
National Provider Identifier
1831276526
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010957 Issued in NY
Practice address
555 Little East Neck Rd
West Babylon, NY 11704-6538
Phone
(631) 587-9355
Fax
(516) 977-4656
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 010957 NY Primary

Addresses

Primary practice location

555 Little East Neck Rd
West Babylon, NY 11704-6538

Mailing address

P.O. Box 471
Long Beach, NY 11561
Phone (917) 576-4464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220111001744 NY Practitioner - Chiropractic 9234521832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 E Park Ave
Long Beach, NY 11561-3522
Phone (917) 576-4464

555 Little E Neck Rd
West Babylon, NY 11704-6538
Phone (631) 587-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0109571NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pellicane Chiropractic PC Chiropractor CurrentSince Jul 15, 2024 Accepting new patients
New York Family Chiropractic LLC Chiropractor CurrentSince Nov 8, 2021 Accepting new patients

Locations

2-12 W Park Ave
Ste 211
Long Beach, NY 11561

555 Little East Neck Rd N
West Babylon, NY 11704
Phone (631) 587-9355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1831276526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 471",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "917-576-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LITTLE EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046538",
            "telephone_number": "631-587-9355",
            "fax_number": "516-977-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLICANE",
        "first_name": "ALISON",
        "middle_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.