DR. LARRY ORDONEZ D.C.
NPI 1104184456
Chiropractor - Independent Medical Examiner in West New York, NJ

Active since April 24, 2012Accepts Medicare Assignment
6310 BERGENLINE AVE, WEST NEW YORK, NJ 07093(201) 869-6220(201) 869-5145 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Larry Ordonez D.c. NPPES

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

DR. LARRY ORDONEZ D.C. (NPI 1104184456) is an individual independent medical examiner provider in West New York, New Jersey, licensed in New Jersey (38MC00697700) and active in the NPI registry since April 2012. He is a graduate of Other (2006).

NPPES Registry Identity

NPI1104184456
Entity TypeIndividualMale
Primary Taxonomy111NI0013X
Provider Legal NameDR. LARRY ORDONEZCredential: D.C.
Location Address6310 BERGENLINE AVEWest New York, NJ 07093-1620
Mailing Address6310 Bergenline AveWest New York, NJ 07093-1620 · (201) 869-6220 · Fax (201) 869-5145
Fax(201) 869-5145
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 24, 2012
Last NPPES UpdateApril 30, 2012
✔ NPI 1104184456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Independent Medical ExaminerChiropractic Providers
Taxonomy Code111NI0013X
License✔ Licensed in NJ · 38MC00697700
Definition
A chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
6310 BERGENLINE AVE, West New York, NJ 07093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Larry Ordonez D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193988962
PECOS Enrollment IDI20120516000036

Medicare Billing Reassignments

2

Medicare enrollment records show Larry Ordonez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
582 FRANKLIN AVE
Nutley, NJ 07110
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
Internist
411 419 CHESTNUT ST, 1A
Newark, NJ 07105
  • Reassigned Medicare billing, New Jersey enrollment

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
6310 BERGENLINE AVE
WEST NEW YORK, NJ 07093
Family Medicine
6310 BERGENLINE AVE
WEST NEW YORK, NJ 07093

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 Larry Ordonez's NPI number?

The NPI number for Larry Ordonez is 1104184456. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Larry Ordonez located?

Larry Ordonez practices at 6310 Bergenline Ave, West New York, NJ 07093. The listed phone number is (201) 869-6220.

What is Larry Ordonez's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Independent Medical Examiner, with taxonomy code 111NI0013X.

Is Larry Ordonez enrolled in Medicare?

Yes. Larry Ordonez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Larry Ordonez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Ordonez reassigns Medicare benefits to 2 organizations: Diego Ruiz Dc LLC (Nutley, NJ) and Peak Chiropractic & Wellness LLC (Newark, NJ). Each 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 Larry Ordonez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Larry Ordonez was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.