Individual provider Active NPI

Michael C Remy, DC,DABCO,CCSP

  • Orthopedic Chiropractor
  • Glenwood Landing, NY
National Provider Identifier
1831286103
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
X006098-1 Issued in NY
Practice address
121 Kissam Lane
Glenwood Landing, NY 11547-0903
Phone
(516) 676-2040
Fax
(516) 676-0566
NPI assigned
Oct 6, 2006
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X X006098-1 NY Primary

Addresses

Primary practice location

121 Kissam Lane
Glenwood Landing, NY 11547-0903

Mailing address

PO Box 903
Glenwood Landing, NY 11547-0903
Phone (516) 676-2040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000392 NY Practitioner - Chiropractic 3971791674 Practice locations: Glen Head, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 Glen Head Rd
Suite 218
Glen Head, NY 11545-1962
Phone (516) 676-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006098-1NYMDOrthopedic Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1831286103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "GLENWOOD LANDING",
            "state": "NY",
            "postal_code": "115470903",
            "telephone_number": "516-676-2040",
            "fax_number": "516-676-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 KISSAM LANE",
            "city": "GLENWOOD LANDING",
            "state": "NY",
            "postal_code": "115470903",
            "telephone_number": "516-676-2040",
            "fax_number": "516-676-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMY",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC,DABCO,CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X006098-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Landing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.