Organization Active NPI

First Care Chiropractic Services, P.C.

  • Chiropractor
  • Ozone Park, NY
National Provider Identifier
1245401546
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007603-1 Issued in NY
Legal business name
FIRST CARE CHIROPRACTIC SERVICES, P.C.
Practice address
10515 Liberty Ave
Ozone Park, NY 11417-1809
Phone
(718) 332-2111
NPI assigned
Mar 14, 2008
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Jon J Randazzo, D.C.NPI 1639372022
Title
Owner
Phone
(718) 843-7720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X007603-1 NY Primary

Addresses

Primary practice location

10515 Liberty Ave
Ozone Park, NY 11417-1809

Mailing address

PO Box 70160
Staten Island, NY 10307-0160
Phone (718) 843-7720

Other identifiers 3

IdentifierTypeStateIssuer
5897310OtherNYGHI, GROUP HEALTH INC.
CO 7603-1OtherNYNEW YORK WORKER S COMP
P41-5011OtherNYOXFORD

National Provider Directory

National Provider Directory

Locations

10515 Liberty Ave
Ozone Park, NY 11417
Phone (718) 835-9600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1245401546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70160",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103070160",
            "telephone_number": "718-843-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171809",
            "telephone_number": "718-332-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE CHIROPRACTIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-843-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007603-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI, GROUP HEALTH INC.",
            "identifier": "5897310",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK WORKER S COMP",
            "identifier": "CO 7603-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P41-5011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.