Active NPI
Gerald Sciascia, D.C.
- Chiropractor
- Staten Island, NY
National Provider Identifier
1871679225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X006709
- Practice address
- 1313 Clove Rd
Staten Island, NY 10301-4338 - Phone
- (718) 448-0687
- Fax
- (718) 448-3463
- NPI assigned
- Oct 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X006709 | NY | Primary |
| Chiropractor | 111N00000X | 38MC00492000 | NJ |
Addresses
Primary practice location
1313 Clove Rd
Staten Island, NY 10301-4338
Mailing address
1313 Clove Rd
Staten Island, NY 10301-4338
Phone (718) 448-0687
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2800784 | Other | NY | OXFORD PROVIDER NUMBER |
| 2C2939 | Other | NY | SMART CHOICE PROVIDER # |
| 838370 | Other | NY | FIRST HEALTH PROVIDER # |
| P40683821 | Other | NY | MULTIPLAN PROVIDER # |
| 893574 | Other | NY | AMERIHEALTH PROVIDER # |
| 13362703001 | Other | NY | HIP PROVIDER # |
| C06709-1 | Other | NY | WORKER'S COMPENSATION |
| 4559473 | Other | NY | AETNA PROVIDER NUMBER |
| 5800677 | Other | NY | GHI PROVIDER NUMBER |
| 5218351 | Other | NY | CIGNA PPO PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040329001726 | NY | Practitioner - Chiropractic | 5698667905 | Practice locations: Staten Island, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1313 Clove Rd
Staten Island, NY 10301-4338
Phone (718) 448-0687
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00492000 | NJ | MD | Chiropractor |
| X006709 | NY | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Staten Island, NY
- NPI 1588064737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871679225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103014338",
"telephone_number": "718-448-0687",
"fax_number": "718-448-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103014338",
"telephone_number": "718-448-0687",
"fax_number": "718-448-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIASCIA",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X006709",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00492000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P2800784",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMART CHOICE PROVIDER #",
"identifier": "2C2939",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROVIDER #",
"identifier": "838370",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN PROVIDER #",
"identifier": "P40683821",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PROVIDER #",
"identifier": "893574",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP PROVIDER #",
"identifier": "13362703001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "C06709-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4559473",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "5800677",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO PROVIDER #",
"identifier": "5218351",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, 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.
- 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.