Organization Active NPI

Floral Chiropractic Arts, PLLC

  • Nutrition Chiropractor
  • Floral Park, NY
National Provider Identifier
1083135396
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
1883-1 Issued in NY
Legal business name
FLORAL CHIROPRACTIC ARTS, PLLC
Practice address
148 Tulip Ave
Floral Park, NY 11001-2767
Phone
(516) 354-4310
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Authorized official

Name
John George Rupolo, D.CNPI 1184706236
Title
Chiropractor
Phone
(516) 354-4310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 1883-1 NY Primary

Addresses

Primary practice location

148 Tulip Ave
Floral Park, NY 11001-2767

Mailing address

148 Tulip Ave
Floral Park, NY 11001-2767
Phone (516) 354-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180328001670 NY Part B Supplier - Clinic/Group Practice 4789946963 Receives reassigned benefits from 1 practitioner
Practice locations: Floral Park, NY

National Provider Directory

National Provider Directory

Locations

148 Tulip Ave
Fl 1
Floral Park, NY 11001
Phone (516) 354-4310

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1083135396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012767",
            "telephone_number": "516-354-4310",
            "fax_number": "516-328-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012767",
            "telephone_number": "516-354-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORAL CHIROPRACTIC ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "RUPOLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "516-354-4310",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "1883-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.