Individual provider Active NPI

Marc Ian Avvento, D.C.

  • Chiropractor
  • Miller Place, NY
National Provider Identifier
1922253426
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011602-1 Issued in NY
Practice address
691 Route 25a
Miller Place, NY 11764-2643
Phone
(631) 744-2114
NPI assigned
Nov 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011602-1 NY Primary

Addresses

Primary practice location

691 Route 25a
Miller Place, NY 11764-2643

Mailing address

691 Route 25a
Miller Place, NY 11764-2643
Phone (631) 744-2114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903002621 NY Practitioner - Chiropractic 6103328828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Link Medical Services PLLCGroup PAC ID 7214385111, 13 clinicians

Practice addresses (Care Compare)

160 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 727-7200

680 Route 112
Suite C
Patchogue, NY 11772-1344
Phone (631) 289-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011602-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Link Medical Services PLLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

680 Route 112
Ste C
Patchogue, NY 11772
Phone (631) 289-3939

160 Old Country Rd
Riverhead, NY 11901
Phone (631) 531-9400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1922253426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642643",
            "telephone_number": "631-744-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642643",
            "telephone_number": "631-744-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVVENTO",
        "first_name": "MARC",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011602-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.