Michael Andrew Minardo, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X44781 Issued in NY

Practice address

55 W 19TH St
New York, NY 10011-4223

Phone

(212) 488-3400

Fax

(212) 488-3401

NPI assigned

Sep 20, 2006

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Active Release and Sports Chiropractic

  • Chiropractor
  • Staten Island, NY
  • NPI 1497984322
  NPD (past)
• Island South Chiropractic PC

  • Chiropractor
  • Staten Island, NY
  • NPI 1639208200
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1124126818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114223",
            "telephone_number": "212-488-3400",
            "fax_number": "212-488-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114223",
            "telephone_number": "212-488-3400",
            "fax_number": "212-488-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARDO",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X44781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MM0X09V210",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3192491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0001416",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "125142",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0466338000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica William Mina
• Christopher M Minacapilli, DPM
• Kota Minami, M.D.
• Kouka Minamoto Webb
• Ryan Paul Minara, DPM
• Chloe F Minars
• Parker Minars
• Courtney Ilana Minarsky, LCSW
• Minas Constantinides, MD, Facs, P.C.
• Ria Minawala, MD

• Sports Physician Chiropractor in New York, NY
• Providers in New York, 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 Jan 29, 2008; 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.