Individual provider Active NPI

Leonard M Ancone, DC

  • Chiropractor
  • Syracuse, NY
National Provider Identifier
1922195932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0072921 Issued in NY
Practice address
4525 W Seneca TNPK
Syracuse, NY 13215-9785
Phone
(315) 469-7791
Fax
(315) 469-4073
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0072921 NY Primary

Addresses

Primary practice location

4525 W Seneca TNPK
Syracuse, NY 13215-9785

Mailing address

4525 W Seneca Turnpike
Syracuse, NY 13215-9785
Phone (315) 469-7791

Other identifiers 1

IdentifierTypeStateIssuer
CO72928BOtherNYWCB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000254 NY Practitioner - Chiropractic 8921273517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4525 W Seneca Turnpike
Syracuse, NY 13215-9785
Phone (315) 469-7791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0072921NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga Hill Chiropractic PLLC Chiropractor CurrentSince Jul 1, 2000 Accepting new patients

Locations

4525 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 469-7791

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922195932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 W SENECA TURNPIKE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132159785",
            "telephone_number": "315-469-7791",
            "fax_number": "315-469-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 W SENECA TNPK",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132159785",
            "telephone_number": "315-469-7791",
            "fax_number": "315-469-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCONE",
        "first_name": "LEONARD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0072921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB",
            "identifier": "CO72928B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, 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.

Verify at the official NPI Registry.