Individual provider Active NPI

Richard C. Meoli, D.C.

  • Chiropractor
  • East Meadow, NY
National Provider Identifier
1881671972
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-004171 Issued in NY
Practice address
595 Merrick Ave
East Meadow, NY 11554-3740
Phone
(516) 481-1400
Fax
(516) 481-1411
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X-004171 NY Primary

Addresses

Primary practice location

595 Merrick Ave
East Meadow, NY 11554-3740

Mailing address

595 Merrick Ave
East Meadow, NY 11554-3740
Phone (516) 481-1400

Other identifiers 10

IdentifierTypeStateIssuer
P1606744OtherOXFORD HEALTH PLANS
4C0498OtherLANDMARK HEALTHCARE
6710998-004OtherCIGNA HEALTH PLANS
113137037-01OtherNYHIP
2078685OtherNJAETNA HEALTH PLANS
487982OtherUNITED HEALTHCARE
C04171-7OtherNYWORKERS' COMPENSATION
X2281OtherNYEMPIRE BC/BS
0036934OtherGROUP HEALTH INSURANCE
20183OtherVYTRA HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000574 NY Practitioner - Chiropractic 6800965617 Practice locations: East Meadow, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

595 Merrick Ave
East Meadow, NY 11554-3740
Phone (516) 481-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-004171NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1881671972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543740",
            "telephone_number": "516-481-1400",
            "fax_number": "516-481-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543740",
            "telephone_number": "516-481-1400",
            "fax_number": "516-481-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEOLI",
        "first_name": "RICHARD",
        "middle_name": "C.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-004171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P1606744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK HEALTHCARE",
            "identifier": "4C0498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLANS",
            "identifier": "6710998-004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "113137037-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "2078685",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "487982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "C04171-7",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "X2281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INSURANCE",
            "identifier": "0036934",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA HEALTH PLANS",
            "identifier": "20183",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.