SHANE RONALD RAYMOND DC
NPI 1699300533
Chiropractor in Glen Cove, NY

Active since March 11, 2020Accepts Medicare Assignment
7 WALNUT RD, GLEN COVE, NY 11542(516) 609-3100 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shane Ronald Raymond Dc NPPES

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

SHANE RONALD RAYMOND DC (NPI 1699300533) is an individual chiropractor in Glen Cove, New York, licensed in New York (X013324-01) and active in the NPI registry since March 2020. He maintains a secondary practice location in Hempstead and is a graduate of New York Chiropractic College (2019).

NPPES Registry Identity

NPI1699300533
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSHANE RONALD RAYMONDCredential: DC
Location Address7 WALNUT RDGlen Cove, NY 11542-2267
Mailing Address11731 237th StElmont, NY 11003-3927
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2019
Enumeration DateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1699300533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X013324-01
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.
7 WALNUT RD, Glen Cove, NY 11542

Secondary Practice Location 1

Location 1717 Front StHempstead, NY 11550-4534 · Phone (516) 565-3534

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

Shane Ronald Raymond Dc 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 ID8325492861
PECOS Enrollment IDI20231002002697

Medicare Billing Reassignment

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

Chiropractor
717 FRONT ST
Hempstead, NY 11550
  • 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.

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
7 WALNUT RD
GLEN COVE, NY 11542
Clinic/Center (Physical Therapy)
7 WALNUT RD
GLEN COVE, NY 11542
Chiropractor
7 WALNUT RD
GLEN COVE, NY 11542

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 Shane Raymond's NPI number?

The NPI number for Shane Raymond is 1699300533. It was assigned to this individual provider in the NPPES registry on March 11, 2020.

Where is Shane Raymond located?

Shane Raymond practices at 7 Walnut Rd, Glen Cove, NY 11542. The listed phone number is (516) 609-3100.

What is Shane Raymond's specialty?

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

Is Shane Raymond enrolled in Medicare?

Yes. Shane Raymond 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 Shane Raymond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Raymond reassigns Medicare benefits to Mendoza Chiropractic Office PC (Hempstead, 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 Shane Raymond'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 Shane Raymond was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.