Organization Active NPI

Sea Cliff Chiropractic PC

  • Clinic/Center
  • Rhinebeck, NY
National Provider Identifier
1992085898
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
X0052491 Issued in NY
Legal business name
SEA CLIFF CHIROPRACTIC PC
Practice address
6369 Mill St
Suite 101
Rhinebeck, NY 12572-1406
Phone
(516) 316-4589
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Dr. Russell Marc Charno, D.C.NPI 1093993958
Title
Owner
Phone
(516) 316-4589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X X0052491 NY Primary

Addresses

Primary practice location

6369 Mill St
Suite 101
Rhinebeck, NY 12572-1406

Mailing address

6369 Mill St
Suite 101
Rhinebeck, NY 12572-1406
Phone (516) 316-4589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000045 NY Part B Supplier - Clinic/Group Practice 0648441386 Receives reassigned benefits from 1 practitioner
Practice locations: Rhinebeck, NY

National Provider Directory

National Provider Directory

Locations

190 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 277-1261

47 W Market St
Ste 4
Rhinebeck, NY 12572
Phone (516) 316-4589

6369 Mill St
Ste 101
Rhinebeck, NY 12572
Phone (516) 316-4589

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1992085898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6369 MILL ST",
            "address_2": "SUITE 101",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721406",
            "telephone_number": "516-316-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6369 MILL ST",
            "address_2": "SUITE 101",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721406",
            "telephone_number": "516-316-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CLIFF CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "CHARNO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-316-4589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "X0052491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.