Active NPI
Carmine Michael Bruno, D.C.
- Chiropractor
- Staten Island, NY
National Provider Identifier
1023264603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X006823-1
- Practice address
- 217 Rose Ave
Staten Island, NY 10306-2918 - Phone
- (718) 351-0901
- Fax
- (718) 351-0927
- NPI assigned
- Aug 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X006823-1 | NY | Primary |
Addresses
Primary practice location
217 Rose Ave
Staten Island, NY 10306-2918
Mailing address
217 Rose Ave
Staten Island, NY 10306-2918
Phone (718) 351-0901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5800695 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X006823-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1023264603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 ROSE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062918",
"telephone_number": "718-351-0901",
"fax_number": "718-351-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 ROSE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062918",
"telephone_number": "718-351-0901",
"fax_number": "718-351-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "CARMINE",
"middle_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-14",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X006823-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5800695",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.