Full Stride Spine & Sport

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FULL STRIDE SPINE & SPORT

Practice address

150 Knickerbocker Ave Ste F
Bohemia, NY 11716-3163

Phone

(845) 238-9651

NPI assigned

Feb 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven PungelloNPI 1326679689

Title

Chiropractor

Phone

(845) 238-9651

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Pungello, DC

  • Chiropractor
  • Bohemia, NY
  • NPI 1326679689
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1043842362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KNICKERBOCKER AVE STE F",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KNICKERBOCKER AVE STE F",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163163",
            "telephone_number": "845-238-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL STRIDE SPINE & SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "PUNGELLO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "845-238-9651"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair Alexandra Flynn
• Christopher T Foglia, D.C.
• Sara Folks, B.A.
• Grace Forestieri, M.S., CCC-SLP, ATP
• Barbara Jean Friedrich
• G F H Orthotic and Prosthetic Laboratories Inc
• Frances A. Gadue, M.S.
• Cristina Galian, LMSW
• Carolyn J. Gaul, MT-BC
• Ron Gelman, LMHC

• Chiropractor in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.