Individual provider Active NPI

Matthew C Maggio

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1982914404
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012087 Issued in NY
Practice address
1880 E Ridge Rd
Suite 2
Rochester, NY 14622-2473
Phone
(727) 748-5144
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012087 NY Primary

Addresses

Primary practice location

1880 E Ridge Rd
Suite 2
Rochester, NY 14622-2473

Mailing address

19 Pumpkin Hook
West Henrietta, NY 14586-9431
Phone (727) 748-5144

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

State licenses

LicenseStateTypeSpecialty
X012087NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
East Ridge Chiropractic PC Chiropractor Past Accepting new patients
Failing Chiropractic, PC Chiropractor Past Accepting new patients
Aj Therapy Center Inc PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 3

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1982914404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PUMPKIN HOOK",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869431",
            "telephone_number": "727-748-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E RIDGE RD",
            "address_2": "SUITE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222473",
            "telephone_number": "727-748-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012087",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 26, 2011; 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.