Patrick J. Nicholson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008569NY Issued in NY

Practice address

16 Canalview Mall
Fulton, NY 13069-1733

Phone

(315) 592-4740

NPI assigned

Nov 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Chiropractic, P.C.

  • Chiropractor
  • Fulton, NY
  • NPI 1316086804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1851572010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CANALVIEW MALL",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691733",
            "telephone_number": "315-592-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CANALVIEW MALL",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691733",
            "telephone_number": "315-592-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "PATRICK",
        "middle_name": "J.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008569NY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marija Dragica Mutabdzic, MD
• Cathy Storrs Nagel, LPN
• Debra Marie Naioti, LPN
• Mary Nateo
• Thuy VI T Nguyen, PHARMD
• Northern Oswego County Health Services, Inc.
• Northway Medical Associates PLLC
• Northway Medical Associates, PLLC
• Nu-Ops, Inc
• Shawnna Ann Nye, MSN, FNP-C

• Chiropractor in Fulton, NY
• Providers in Fulton, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.