Active NPI
Samuel Wallace Ascioti, D.C.
- Chiropractor
- Rochester, NY
National Provider Identifier
1962956961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012862
- Practice address
- 30 Allens Creek Rd
Rochester, NY 14618 - Phone
- (585) 442-3220
- Fax
- (585) 442-1017
- NPI assigned
- Aug 8, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012862 | NY | Primary |
Addresses
Primary practice location
30 Allens Creek Rd
Rochester, NY 14618
Mailing address
30 Allens Creek Rd
Rochester, NY 14618-3228
Phone (585) 442-3220
Other practice location 1
75 W Pulteney St
Corning, NY 14830-2252
Phone (607) 962-3387
Other practice location 2
75 W Pulteney St
Corning, NY 14830-2252
Phone (607) 962-3387
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578625927 | Other | NY | BLUE CROSS BLUE SHIELD |
| 1578625927 | Other | NY | EMPIRE |
| 1578625927 | Other | NY | RMSCO |
| 1578625927 | Other | NY | AETNA |
| 1578625927 | Other | NY | POMCO |
| 1578625927 | Other | NY | EMBLEM |
| 1578625927 | Other | NY | FIDELIS |
| X012862-1 | Other | NY | NYS WORKER'S COMPENSATION |
| 1578625927 | Other | NY | UNITED HEALTHCARE |
| 1578625927 | Other | NY | TODAY'S OPTION |
| 1578625927 | Other | NY | LANDMARK |
| 1578625927 | Other | NY | ELMCO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012862 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finger Lakes Pain Management, LLC | Past | Accepting new patients |
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.
-
- Pain Medicine (Anesthesiology) Physician
- Horseheads, NY
- NPI 1639120009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962956961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ALLENS CREEK RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183228",
"telephone_number": "585-442-3220",
"fax_number": "585-442-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 ALLENS CREEK RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-442-3220",
"fax_number": "585-442-1017"
}
],
"practiceLocations": [
{
"address_1": "75 W Pulteney St",
"address_purpose": "LOCATION",
"city": "Corning",
"state": "NY",
"postal_code": "148302252",
"country_code": "US",
"telephone_number": "607-962-3387",
"fax_number": "607-937-3674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 W Pulteney St",
"address_purpose": "LOCATION",
"city": "Corning",
"state": "NY",
"postal_code": "148302252",
"country_code": "US",
"telephone_number": "607-962-3387",
"fax_number": "607-937-3674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASCIOTI",
"first_name": "SAMUEL",
"middle_name": "WALLACE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RMSCO",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMBLEM",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS WORKER'S COMPENSATION",
"identifier": "X012862-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TODAY'S OPTION",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK",
"identifier": "1578625927",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELMCO",
"identifier": "1578625927",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.