Individual provider Active NPI

Richard Anthony Marsillo, D.C.

  • Occupational Health Chiropractor
  • Levittown, NY
National Provider Identifier
1841359197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
X006867-1 Issued in NY
Practice address
70 Division Ave
New York Chiropractic College
Levittown, NY 11756-2941
Phone
(516) 796-4800
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X X006867-1 NY Primary

Addresses

Primary practice location

70 Division Ave
New York Chiropractic College
Levittown, NY 11756-2941

Mailing address

70 Division Ave
New York Chiropractic College
Levittown, NY 11756-2941
Phone (516) 796-4800

Other identifiers 1

IdentifierTypeStateIssuer
XOO6867-1OtherNYLICENSE

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

LicenseStateTypeSpecialty
X006867-1NYMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast College of Health Sciences Past Accepting new patients
New York Neurology and Medical Services P.C Past Accepting new patients

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841359197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DIVISION AVE",
            "address_2": "NEW YORK CHIROPRACTIC COLLEGE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562941",
            "telephone_number": "516-796-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DIVISION AVE",
            "address_2": "NEW YORK CHIROPRACTIC COLLEGE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562941",
            "telephone_number": "516-796-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSILLO",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "NY",
            "license": "X006867-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "XOO6867-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.