Individual provider Active NPI

Joseph Anthony Taccetta, D.C.

  • Nutrition Chiropractor
  • Nanuet, NY
National Provider Identifier
1891968657
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
011486 Issued in NY
Practice address
25 Smith St Ste 202
Nanuet, NY 10954-2971
Phone
(845) 623-6333
Fax
(845) 623-5333
NPI assigned
Apr 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 011486 NY Primary
Nutrition Chiropractor 111NN1001X 38MC00683100 NJ

Addresses

Primary practice location

25 Smith St Ste 202
Nanuet, NY 10954-2971

Mailing address

25 Smith St Ste 202
Nanuet, NY 10954-2971
Phone (845) 623-6333

Other practice location 1

18 Thiells Mount Ivy Rd
Suite 7
Pomona, NY 10970-3020
Phone (845) 459-6304

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
011486NYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Health Physical Therapy, PLLC Past Accepting new patients
Dr. Philip Delli Santi, P.C. PastSince Oct 15, 2007 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891968657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SMITH ST STE 202",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542971",
            "telephone_number": "845-623-6333",
            "fax_number": "845-623-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SMITH ST STE 202",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542971",
            "telephone_number": "845-623-6333",
            "fax_number": "845-623-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Thiells Mount Ivy Rd",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NY",
            "postal_code": "109703020",
            "country_code": "US",
            "telephone_number": "845-459-6304",
            "fax_number": "845-459-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACCETTA",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "011486",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00683100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.