Active NPI
Marilyn E Kavulich, D.C.
- Nutrition Chiropractor
- Hopewell JCT, NY
National Provider Identifier
1922211986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X002967
- Practice address
- 1061 RT 82
Hopewell JCT., NY 12533 - Phone
- (845) 221-1201
- Fax
- (845) 221-0289
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X002967 | NY | Primary |
Addresses
Primary practice location
1061 RT 82
Hopewell JCT., NY 12533
Mailing address
46 All Angels Hill Rd.
Wappingers Falls, NY 12590
Phone (845) 298-0008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X002967 | Other | NY | NEW YORK STATE LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120227000368 | NY | Practitioner - Chiropractic | 8820256589 | Practice locations: Hopewell Junction, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1061 Route 82
Hopewell JCT, NY 12533-6166
Phone (845) 221-1201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X002967 | NY | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922211986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ALL ANGELS HILL RD.",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "12590",
"telephone_number": "845-298-0008",
"fax_number": "845-221-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 RT 82",
"city": "HOPEWELL JCT.",
"state": "NY",
"postal_code": "12533",
"telephone_number": "845-221-1201",
"fax_number": "845-221-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVULICH",
"first_name": "MARILYN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X002967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE#",
"identifier": "X002967",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopewell JCT, 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.