Active NPI
Tina Sacchetti, D.C.
- Chiropractor
- Thornwood, NY
National Provider Identifier
1861576613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- XOO4751
- Practice address
- 879 Commerce St
Thornwood, NY 10594-1415 - Phone
- (914) 747-9200
- Fax
- (914) 747-4406
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | XOO4751 | NY | Primary |
Addresses
Primary practice location
879 Commerce St
Thornwood, NY 10594-1415
Mailing address
879 Commerce St
Thornwood, NY 10594-1415
Phone (914) 747-9200
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-4043228 | Other | NY | AETNA |
| 320281 | Other | NY | ASH |
| P452303 | Other | NY | OXFORD |
| 13-4043228 | Other | NY | TAX ID # |
| 350044841 | Other | NY | RR MEDICARE |
| 13-4043228 | Other | NY | UHC |
| C3000366 | Other | NY | INDEPENDENT HEALTH |
| 6228347-002 | Other | NY | CIGNA |
| CO47516 | Other | NY | WORKER'S COMP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004751 | NY | MD | Clinical Psychologist |
| XOO4751 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1861576613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 COMMERCE ST",
"city": "THORNWOOD",
"state": "NY",
"postal_code": "105941415",
"telephone_number": "914-747-9200",
"fax_number": "914-747-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 COMMERCE ST",
"city": "THORNWOOD",
"state": "NY",
"postal_code": "105941415",
"telephone_number": "914-747-9200",
"fax_number": "914-747-4406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCHETTI",
"first_name": "TINA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "XOO4751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "13-4043228",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASH",
"identifier": "320281",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P452303",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "13-4043228",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350044841",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "13-4043228",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "C3000366",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6228347-002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMP",
"identifier": "CO47516",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.