Individual provider Active NPI

Samuel Wallace Ascioti, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1962956961
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012862 Issued in NY
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1578625927OtherNYBLUE CROSS BLUE SHIELD
1578625927OtherNYEMPIRE
1578625927OtherNYRMSCO
1578625927OtherNYAETNA
1578625927OtherNYPOMCO
1578625927OtherNYEMBLEM
1578625927OtherNYFIDELIS
X012862-1OtherNYNYS WORKER'S COMPENSATION
1578625927OtherNYUNITED HEALTHCARE
1578625927OtherNYTODAY'S OPTION
1578625927OtherNYLANDMARK
1578625927OtherNYELMCO

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

LicenseStateTypeSpecialty
012862NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Pain Management, LLC PastSince Sep 12, 2016 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.

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.

Verify at the official NPI Registry.