Organization Active NPI

Optimum Heath & Performance

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1104279306
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012796 Issued in NY
Legal business name
OPTIMUM HEATH & PERFORMANCE
Practice address
7001 Amboy Rd
Suite 202C
Staten Island, NY 10307-1444
Phone
(718) 554-4080
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Dr. Michael Romagnolo
Title
Owner
Phone
(917) 709-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X012796 NY Primary

Addresses

Primary practice location

7001 Amboy Rd
Suite 202C
Staten Island, NY 10307-1444

Mailing address

7001 Amboy Rd
Suite 202C
Staten Island, NY 10307-1444
Phone (718) 554-4080

National Provider Directory

National Provider Directory

Locations

7001 Amboy Rd
Ste 202C
Staten Island, NY 10307
Phone (718) 554-4080

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1104279306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 AMBOY RD",
            "address_2": "SUITE 202C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071444",
            "telephone_number": "718-554-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 AMBOY RD",
            "address_2": "SUITE 202C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071444",
            "telephone_number": "718-554-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEATH & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "ROMAGNOLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-709-2025",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012796",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 22, 2016; 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.