Active NPI
Robert John Costanzo, D.C.
- Chiropractor
- Norwalk, CT
National Provider Identifier
1174655575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001013
- Practice address
- 93 Richards Ave
Unit 202
Norwalk, CT 06854-1679 - Phone
- (203) 247-2205
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 001013 | CT | Primary |
Addresses
Primary practice location
93 Richards Ave
Unit 202
Norwalk, CT 06854-1679
Mailing address
93 Richards Ave
202
Norwalk, CT 06854-1679
Phone (203) 247-2205
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001013 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174655575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 RICHARDS AVE",
"address_2": "202",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541679",
"telephone_number": "203-247-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 RICHARDS AVE",
"address_2": "UNIT 202",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541679",
"telephone_number": "203-247-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANZO",
"first_name": "ROBERT",
"middle_name": "JOHN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
- John Matthew Corsi, PA-C
- Corus Home Health LLC
- Anthony G Coscia, MD
- Jenny L Cosma
- Lorraine C Costanzo, RPT
- Costco Wholesale Corporation (Costco Hearing Aid #324)
- Costco Wholesale Corporation (Costco Optical #324)
- Costco Wholesale Corporation (Costco Pharmacy # 324)
- Counseling Associates of Norwalk, LLC
- Alison E Cox
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.