SERENITY SOURCE CHIROPRACTIC & MASSAGE PLLC
NPI 1316350580
Chiropractor in Blue Point, NY

Active since June 05, 2014
18 WEEKS ST STE A, BLUE POINT, NY 11715(631) 404-7073(631) 751-8298 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serenity Source Chiropractic & Massage Pllc NPPES

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

SERENITY SOURCE CHIROPRACTIC & MASSAGE PLLC (NPI 1316350580) is a healthcare organization registered as a chiropractor in Blue Point, New York and active in the NPI registry since June 2014. The organization lists Anthony Pusateri, Owner, as its authorized official.

NPPES Registry Identity

NPI1316350580
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSERENITY SOURCE CHIROPRACTIC & MASSAGE PLLC
Location Address18 WEEKS ST STE ABlue Point, NY 11715-1513
Mailing Address18 Weeks St Ste ABlue Point, NY 11715-1513 · (631) 404-7073 · Fax (631) 751-8298
Fax(631) 751-8298
Organization SubpartNo
Authorized OfficialAnthony PusateriOwner · (631) 404-7073
Enumeration DateJune 5, 2014
NPI 1316350580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · 007829
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
18 WEEKS ST STE A, Blue Point, NY 11715

Other Identifiers 1

Other007829NY · License

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

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation
18 WEEKS ST STE A
BLUE POINT, NY 11715

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 Serenity Source Chiropractic & Massage PLLC's NPI number?

The NPI number for Serenity Source Chiropractic & Massage PLLC is 1316350580. It was assigned to this organization in the NPPES registry on June 5, 2014.

Where is Serenity Source Chiropractic & Massage PLLC located?

Serenity Source Chiropractic & Massage PLLC is located at 18 Weeks St Ste A, Blue Point, NY 11715. The listed phone number is (631) 404-7073.

What is Serenity Source Chiropractic & Massage PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Serenity Source Chiropractic & Massage PLLC was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.