DR. MARC S. TACZANOWSKI D.C.
NPI 1326093857
Chiropractor - Sports Physician in Saint James, NY

Active since May 23, 2006Accepts Medicare Assignment
631 LAKE AVE, SUITE A, SAINT JAMES, NY 11780(631) 584-8783(631) 584-8784 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Marc S. Taczanowski D.c. NPPES

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

DR. MARC S. TACZANOWSKI D.C. (NPI 1326093857) is an individual sports physician in Saint James, New York, licensed in New York (X008229-1) and active in the NPI registry since May 2006. He is a graduate of Life Chiropractic College - West (1996).

NPPES Registry Identity

NPI1326093857
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. MARC S. TACZANOWSKICredential: D.C.
Location Address631 LAKE AVE, SUITE ASaint James, NY 11780-1961
Mailing Address631 Lake Avenue Suite ASaint James, NY 11780 · (631) 584-8783 · Fax (631) 584-8784
Fax(631) 584-8784
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 1996
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326093857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in NY · X008229-1
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
631 LAKE AVE, Saint James, NY 11780

Other Identifiers 1

Medicare ID-Type UnspecifiedX7E693NY

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. Marc S. Taczanowski 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 ID3577526474
PECOS Enrollment IDI20041111000326

Medicare Billing Reassignment

Medicare enrollment records show Marc Taczanowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Physician
62 LAKE AVE S, SUITE C
Nesconset, NY 11767
  • Reassigned Medicare billing, New York enrollment

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
258 services43 patients

Other Providers at the Same Location NPPES 3

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

Chiropractor (Sports Physician)
631 LAKE AVE, SUITE A
SAINT JAMES, NY 11780
Specialist
631 LAKE AVE
SAINT JAMES, NY 11780
Family Medicine
631 LAKE AVE
ST JAMES, NY 11780

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 Marc Taczanowski's NPI number?

The NPI number for Marc Taczanowski is 1326093857. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Marc Taczanowski located?

Marc Taczanowski practices at 631 Lake Ave Suite A, Saint James, NY 11780. The listed phone number is (631) 584-8783.

What is Marc Taczanowski's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Marc Taczanowski enrolled in Medicare?

Yes. Marc Taczanowski 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 organization bills Medicare for Marc Taczanowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Taczanowski reassigns Medicare benefits to True Chiropractic PLLC (Nesconset, NY). The 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 Marc Taczanowski'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 Marc Taczanowski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.