Active NPI
Jacqueline Dimalante DC PC
- Chiropractor
- West Islip, NY
National Provider Identifier
1962694885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005874
- Legal business name
- JACQUELINE DIMALANTE DC PC
- Practice address
- 720 Udall Road
West Islip, NY 11795 - Phone
- (631) 422-2225
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Dimalante, DC
- Title
- President
- Phone
- (631) 422-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005874 | NY | Primary |
Addresses
Primary practice location
720 Udall Road
West Islip, NY 11795
Mailing address
720 Udall Road
West Islip, NY 11795
Phone (631) 422-2225
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- West Islip, NY
- NPI 1114117439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187049600000",
"number": "1962694885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 UDALL ROAD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "11795",
"telephone_number": "631-422-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 UDALL ROAD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "11795",
"telephone_number": "631-422-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACQUELINE DIMALANTE DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A",
"authorized_official_last_name": "DIMALANTE",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-422-2225",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X005874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.