Organization Active NPI

Tuscarora Chiropractic P.C.

  • Chiropractor
  • Bayside, NY
National Provider Identifier
1053783266
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011320 Issued in NY
Legal business name
TUSCARORA CHIROPRACTIC P.C.
Practice address
4106 Bell Blvd
Bayside, NY 11361-2857
Phone
(646) 582-6955
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Christian G Carollo, D.C.
Title
Owner/President
Phone
(646) 582-6955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 011320 NY Primary

Addresses

Primary practice location

4106 Bell Blvd
Bayside, NY 11361-2857

Mailing address

PO Box 630447
Little Neck, NY 11363-0447

National Provider Directory

National Provider Directory

Locations

4106 Bell Blvd
Bayside, NY 11361
Phone (646) 582-6955

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1053783266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630447",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113630447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612857",
            "telephone_number": "646-582-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCARORA CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "CAROLLO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "646-582-6955",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.