Active NPI
Paul Andrew Giambo, D.C.
- Chiropractor
- Lindenhurst, NY
National Provider Identifier
1245351121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009370
- Practice address
- 459 S Wellwood Ave
Lindenhurst, NY 11757-4908 - Phone
- (631) 225-2122
- Fax
- (631) 225-5787
- NPI assigned
- Apr 2, 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 | X009370 | NY | Primary |
Addresses
Primary practice location
459 S Wellwood Ave
Lindenhurst, NY 11757-4908
Mailing address
459 S Wellwood Ave
Lindenhurst, NY 11757-4908
Phone (631) 225-2122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
459 S Wellwood Ave
Lindenhurst, NY 11757-4936
Phone (631) 225-2122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giambo Family Chiropractic & Wellness PC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Lindenhurst, NY
- NPI 1225123276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245351121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 S WELLWOOD AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117574908",
"telephone_number": "631-225-2122",
"fax_number": "631-225-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 S WELLWOOD AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117574908",
"telephone_number": "631-225-2122",
"fax_number": "631-225-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAMBO",
"first_name": "PAUL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_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 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.