Organization Active NPI

Giambo Family Chiropractic & Wellness PC

  • Chiropractor
  • Lindenhurst, NY
National Provider Identifier
1225123276
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009370 Issued in NY
Legal business name
GIAMBO FAMILY CHIROPRACTIC & WELLNESS PC
Practice address
459 South Wellwood Ave
Giambo Family Chiropractic & Wellness
Lindenhurst, NY 11757
Phone
(631) 225-2122
Fax
(631) 225-5757
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. Paul Andrew Giambo, DCNPI 1245351121
Title
Doctor of Chiropractic President
Phone
(631) 225-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009370 NY Primary

Addresses

Primary practice location

459 South Wellwood Ave
Giambo Family Chiropractic & Wellness
Lindenhurst, NY 11757

Mailing address

459 South Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 957-3209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080829000485 NY Part B Supplier - Clinic/Group Practice 5193763803 Receives reassigned benefits from 1 practitioner
Practice locations: Lindenhurst, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1225123276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 SOUTH WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "631-957-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 SOUTH WELLWOOD AVE",
            "address_2": "GIAMBO FAMILY CHIROPRACTIC & WELLNESS",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "631-225-2122",
            "fax_number": "631-225-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIAMBO FAMILY CHIROPRACTIC & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GIAMBO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC PRESIDENT",
        "authorized_official_telephone_number": "631-225-2122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.