Stephen Martucci, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X2411 Issued in NY

Practice address

125 Beverly Ave
Massapequa Park, NY 11762-3621

Phone

(516) 795-7900

Fax

(516) 795-8861

NPI assigned

Nov 1, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1851843239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BEVERLY AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623621",
            "telephone_number": "516-795-7900",
            "fax_number": "516-795-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BEVERLY AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623621",
            "telephone_number": "516-795-7900",
            "fax_number": "516-795-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Maltese, LMT
• Kelly Manzella
• Barbara Maraia-Rentz
• Lori Theresa Marcus
• Jacqueline E Martin, MS, RD, CDN
• Maureen Ann Martus, O.D.
• Massapequa Oral & Maxillofacial Associates LLP
• Massapequa Park Acupuncture Wellness P.C.
• Massapequa Park Dental PLLC
• Matrix Occupational Therapy PC

• Chiropractor in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.