Active NPI
Adrienne Lucia Fabrizio, D.C.
- Nutrition Chiropractor
- Carmel, NY
National Provider Identifier
1942391305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- XO-3731-9
- Practice address
- 686 Stoneleigh Ave Ste 1
Carmel, NY 10512-3932 - Phone
- (845) 278-9300
- Fax
- (845) 278-8702
- NPI assigned
- Sep 28, 2006
- 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 | XO-3731-9 | NY | Primary |
Addresses
Primary practice location
686 Stoneleigh Ave Ste 1
Carmel, NY 10512-3932
Mailing address
686 Stoneleigh Ave Ste 1
Carmel, NY 10512-3932
Phone (845) 278-9300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009453-99 | Other | NY | GHI |
| 13-3374290 | Other | NY | TAX ID |
| CO3731-9 | Other | NY | WORKERS COMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040202001123 | NY | Practitioner - Chiropractic | 4880587104 | Practice locations: Carmel, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
686 Stoneleigh Ave
Carmel, NY 10512-3931
Phone (845) 278-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XO-3731-9 | NY | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1942391305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 STONELEIGH AVE STE 1",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123932",
"telephone_number": "845-278-9300",
"fax_number": "845-278-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 STONELEIGH AVE STE 1",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123932",
"telephone_number": "845-278-9300",
"fax_number": "845-278-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRIZIO",
"first_name": "ADRIENNE",
"middle_name": "LUCIA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "XO-3731-9",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "009453-99",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "13-3374290",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "CO3731-9",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.