Anthony V Badalamenti, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

11-2796816 Issued in NY

Practice address

1825 Bellmore Ave
North Bellmore, NY 11710-5549

Phone

(516) 781-2300

Fax

(516) 781-3865

NPI assigned

Feb 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104964782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105549",
            "telephone_number": "516-781-2300",
            "fax_number": "516-781-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105549",
            "telephone_number": "516-781-2300",
            "fax_number": "516-781-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADALAMENTI",
        "first_name": "ANTHONY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "11-2796816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C04441-4",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1649268",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0097293",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "111733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ascent Physical Therapy
• John J. Asheld Jr., M.D.
• Jennifer Auleta, PT
• Leanne Aurigemma
• Allison Azus, PSY.D.
• Jocelyn Baitz, M.A.
• Michael J. Balas, D.C.
• Leslie Bauerle, DNP, FNP-BC
• Belair Care Center, Inc.
• Randi Bender, LMSW

• Sports Physician Chiropractor in North Bellmore, NY
• Providers in North Bellmore, NY by specialty
• Sports Physician Chiropractor in New York

• 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.
• 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.