MARVIN FAMILY CHIROPRACTIC PC
NPI 1609054931
Chiropractor - Sports Physician in Pearl River, NY

Active since February 08, 2008
37 E CENTRAL AVE, PEARL RIVER, NY 10965(845) 735-4755(845) 735-1055 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marvin Family Chiropractic Pc NPPES

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

MARVIN FAMILY CHIROPRACTIC PC (NPI 1609054931) is a healthcare organization registered as a sports physician in Pearl River, New York and active in the NPI registry since February 2008. The organization lists Kenneth Russell Marvin, Owner, as its authorized official.

NPPES Registry Identity

NPI1609054931
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameMARVIN FAMILY CHIROPRACTIC PC
Location Address37 E CENTRAL AVEPearl River, NY 10965-2306
Mailing Address37 E Central AvePearl River, NY 10965-2306 · (845) 735-4755 · Fax (845) 735-1055
Fax(845) 735-1055
Organization SubpartNo
Authorized OfficialKenneth Russell MarvinOwner · (845) 735-4755
Enumeration DateFebruary 8, 2008
✔ NPI 1609054931 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 · X008559-1
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.
37 E CENTRAL AVE, Pearl River, NY 10965

Other Identifiers 2

Medicare PINX91051NY
Medicare UPINX91051NY

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)

Marvin Family Chiropractic Pc 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 Marvin Family Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1710094933
37 E CENTRAL AVE
Pearl River, NY 10965
(845) 735-4755
✔ Accepts MedicareSame 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 Marvin Family Chiropractic PC's NPI number?

The NPI number for Marvin Family Chiropractic PC is 1609054931. It was assigned to this organization in the NPPES registry on February 8, 2008.

Where is Marvin Family Chiropractic PC located?

Marvin Family Chiropractic PC is located at 37 E Central Ave, Pearl River, NY 10965. The listed phone number is (845) 735-4755.

What is Marvin Family Chiropractic PC's specialty?

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

Is Marvin Family Chiropractic PC enrolled in Medicare?

Yes. Marvin Family Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marvin Family Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Marvin Family Chiropractic PC. 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 Marvin Family Chiropractic PC was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.