Michael Laurens Masucci, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12555 Issued in FL

Practice address

1701 Military TRL Ste 145B
Jupiter, FL 33458-6330

Phone

(561) 781-0989

Fax

(561) 781-0947

NPI assigned

May 5, 2014

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jupiter Chiropractic PLLC

  dba Arise Neuromuscular

  • Chiropractor
  • Jupiter, FL
  • NPI 1306416110
  Authorized official Same address or phone
• Jupiter Chiropractic and Sports Medicine, PLLC

  dba Karel Lewit Clinic

  • Health Service Clinic/Center
  • Jupiter, FL
  • NPI 1902382278
  NPD (past)

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1861802530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PALOMINO DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588009",
            "telephone_number": "314-630-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MILITARY TRL STE 145B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586330",
            "telephone_number": "561-781-0989",
            "fax_number": "561-781-0947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 Milwaukee St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631227360",
            "country_code": "US",
            "telephone_number": "314-822-1502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASUCCI",
        "first_name": "MICHAEL",
        "middle_name": "LAURENS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014013287",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSURE",
            "identifier": "2014013287",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSURE",
            "identifier": "CH12555",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bonnie Marting
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• Marvin R. Feldman, DMD, PA
• Katja Marxen, PT
• Benjamin Matalon, DPT
• Ashley Matarazzo
• Marc Francis Matarazzo, MD
• Luis A Matos, DMD
• Maurice G. Cogle, LLC (Cogle's Rehab Staffing Services, LLC)

• Chiropractor in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.