Paul D Priolo DC PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PAUL D PRIOLO DC PC

Practice address

2805 Veterans Memorial Hwy Ste 8
Ronkonkoma, NY 11779-7680

Phone

(631) 676-6324

NPI assigned

Feb 5, 2022

Last updated

Feb 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul David Priolo, DCNPI 1922184746

Title

Chiropractor

Phone

(631) 379-2711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paul Priolo DC Former legal business name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul David Priolo, DC

  • Chiropractor
  • Holbrook, NY
  • NPI 1922184746
  NPD Authorized official

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1225782618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHAPEL HILL CT",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552470",
            "telephone_number": "631-379-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY STE 8",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797680",
            "telephone_number": "631-676-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D PRIOLO DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "PRIOLO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "631-379-2711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT IN MEDICARE OR MEDICADE",
            "identifier": "0000000000",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "southshoreptc@outlook.com",
            "affiliation": "N",
            "address_1": "2805 Veterans Memorial Hwy Ste 8",
            "city": "Ronkonkoma",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117797680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paul Priolo DC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Myung Kyu Park, L.AC.
• Heather Parrales
• Christopher Joseph Pastorelli
• Shail Patel, PT
• Melissa Patterson
• Melissa Ann Pavao-Callis, LMHC
• Suzanne Pavelock
• Sara Pearson, FNP
• Kelly Joy Pena, RN
• Jennifer Perez Mejia, M.A., CCC-SLP

• Clinic/Center in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.