Individual provider Active NPI

Ronald A Csillag, DC

  • Chiropractor
  • Bayside, NY
National Provider Identifier
1881674612
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002633-1 Issued in NY
Practice address
34-38 Bell Blvd
Suite 401
Bayside, NY 11361
Phone
(718) 352-4500
Fax
(718) 352-4502
NPI assigned
Jan 18, 2006
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 X002633-1 NY Primary

Addresses

Primary practice location

34-38 Bell Blvd
Suite 401
Bayside, NY 11361

Mailing address

34-38 Bell Blvd
Suite 401
Bayside, NY 11361
Phone (718) 352-4500

Other identifiers 1

IdentifierTypeStateIssuer
1I 01721177 9MedicaidNY

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

LicenseStateTypeSpecialty
X002633-1NYMDChiropractor
026331NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1881674612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-38 BELL BLVD",
            "address_2": "SUITE 401",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-352-4500",
            "fax_number": "718-352-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-38 BELL BLVD",
            "address_2": "SUITE 401",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-352-4500",
            "fax_number": "718-352-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSILLAG",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002633-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1I 01721177 9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.