Decesare Chiropractic Office PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X004697 Issued in NY

Legal business name

DECESARE CHIROPRACTIC OFFICE PC

Practice address

572 Ulster Ave
Kingston, NY 12401-1924

Phone

(845) 339-6000

Fax

(845) 339-6065

NPI assigned

Dec 28, 2006

Last updated

Jan 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark W Decasare, DC

Title

Owner

Phone

(845) 339-6000

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark W Decesare, DC

  • Chiropractor
  • Kingston, NY
  • NPI 1972584266
  Medicare reassignment NPD
• James A Curtin, DC

  • Chiropractor
  • Kingston, NY
  • NPI 1477534865
  NPD (past)
• Timothy E Deschenes, DC

  • Chiropractor
  • Stone Ridge, NY
  • NPI 1902897242
  NPD (past)
• Elizabeth Welter, LMT

  • Massage Therapist
  • Kingston, NY
  • NPI 1760732317
  NPD (past)
• Beth Anne Berinato

  • Chiropractor
  • West Melbourne, FL
  • NPI 1083948814
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1952467722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 ULSTER AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011924",
            "telephone_number": "845-339-6000",
            "fax_number": "845-339-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 ULSTER AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011924",
            "telephone_number": "845-339-6000",
            "fax_number": "845-339-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECESARE CHIROPRACTIC OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "DECASARE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-339-6000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006381",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008548",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": "X008697",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5803085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Michael Davis, OD
• Mark Henry De Nies, PT
• Ann Deangelis
• Alissa Debaun
• Michele Debrosky, FNP-BC
• Mark W Decesare, DC
• Alexandra Mae Decker, LMSW
• Deanna Decker
• Jessica Decker, RN
• Richard L Decrosta

• Chiropractor in Kingston, NY
• Providers in Kingston, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.