TARRYTOWN CHIROPRACTIC PLLC
NPI 1104119080
Chiropractor - Nutrition in Tarrytown, NY

Active since May 25, 2011
102 S BROADWAY, TARRYTOWN, NY 10591(914) 631-4900(914) 332-1362 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tarrytown Chiropractic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARRYTOWN CHIROPRACTIC PLLC (NPI 1104119080) is a healthcare organization registered as a nutrition in Tarrytown, New York and active in the NPI registry since May 2011. The organization lists Michael Paule, Owner, as its authorized official.

NPPES Registry Identity

NPI1104119080
Entity TypeOrganization
Primary Taxonomy111NN1001X
Legal Business NameTARRYTOWN CHIROPRACTIC PLLC
Location Address102 S BROADWAYTarrytown, NY 10591-4006
Mailing Address102 S BroadwayTarrytown, NY 10591-4006 · (914) 631-4900 · Fax (914) 332-1362
Fax(914) 332-1362
Organization SubpartNo
Authorized OfficialMichael PauleOwner · (914) 631-4900
Enumeration DateMay 25, 2011
✔ NPI 1104119080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
License✔ Licensed in NY · X006879-1
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
102 S BROADWAY, Tarrytown, NY 10591

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tarrytown Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tarrytown Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1427137561
102 S BROADWAY
Tarrytown, NY 10591
(914) 631-4900
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tarrytown Chiropractic PLLC's NPI number?

The NPI number for Tarrytown Chiropractic PLLC is 1104119080. It was assigned to this organization in the NPPES registry on May 25, 2011.

Where is Tarrytown Chiropractic PLLC located?

Tarrytown Chiropractic PLLC is located at 102 S Broadway, Tarrytown, NY 10591. The listed phone number is (914) 631-4900.

What is Tarrytown Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Tarrytown Chiropractic PLLC enrolled in Medicare?

Yes. Tarrytown Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tarrytown Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Tarrytown Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tarrytown Chiropractic PLLC was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.