Marcos Roberto Cordova, DC
Individual provider Active NPI Chiropractor · Saugerties, NY
NPI 1992361430 · NPPES record last updated Dec 12, 2023
Key facts
- NPI
- 1992361430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 013490 (NY)
- Practice address
- 25 Ulster Ave
Saugerties, NY 12477-1212 - Phone
- (845) 246-3642
- NPI assigned
- May 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
187 E Market St
Rhinebeck, NY 12572-1730
Phone (845) 876-7473
25 Ulster Ave
Saugerties, NY 12477-1212
Phone (845) 246-3642
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220228000505 | NY | Practitioner - Chiropractic | 2264826775 | Practice locations: Rhinebeck, NY; Saugerties, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walters' Chiropractic, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 013490 | NY | Yes |
Addresses
Primary practice location
25 Ulster Ave
Saugerties, NY 12477-1212
Mailing address
187 E Market St
Rhinebeck, NY 12572-1727
Phone (845) 876-7473
Other practice location 1
187 E Market St
Rhinebeck, NY 12572-1727
Phone (845) 876-7473
Other providers in Saugerties, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.