Active NPI
John Victor Guglielmucci, D.C.
- Chiropractor
- Pearl River, NY
National Provider Identifier
1083839633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007529
- Practice address
- 360 Ehrhardt Rd
Pearl River, NY 10965-1339 - Phone
- (845) 735-2225
- Fax
- (845) 627-9778
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 | X007529 | NY | Primary |
Addresses
Primary practice location
360 Ehrhardt Rd
Pearl River, NY 10965-1339
Mailing address
360 Ehrhardt Rd
Pearl River, NY 10965-1339
Phone (845) 735-2225
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 |
|---|---|---|---|
| 007529 | NY | MD | Mental Health Counselor |
| X007529 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083839633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 EHRHARDT RD",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651339",
"telephone_number": "845-735-2225",
"fax_number": "845-627-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 EHRHARDT RD",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651339",
"telephone_number": "845-735-2225",
"fax_number": "845-627-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGLIELMUCCI",
"first_name": "JOHN",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.