Mark W Decesare, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X004697 Issued in NY

Practice address

572 Ulster Ave
Kingston, NY 12401-1924

Phone

(845) 339-6000

Fax

(845) 339-6065

NPI assigned

Nov 14, 2005

Last updated

Jan 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Decesare Chiropractic Office PC

  • Chiropractor
  • Kingston, NY
  • NPI 1952467722
  Medicare reassignment NPD

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1972584266",
    "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": {
        "last_name": "DECESARE",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INSURANCE",
            "identifier": "GHI5803085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Henry De Nies, PT
• Ann Deangelis
• Alissa Debaun
• Michele Debrosky, FNP-BC
• Decesare Chiropractic Office PC
• Alexandra Mae Decker, LMSW
• Deanna Decker
• Jessica Decker, RN
• Richard L Decrosta
• Dedrick's Pharmacy Inc. (Nekos-Dedrick's Pharmacy)

• 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.
• 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.

Verify at the official NPI Registry.