Individual provider Active NPI

Robert Minlionica, DC, ATC

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1265898662
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00788700 Issued in NY
Practice address
2950 Hylan Blvd Ste 100
Staten Island, NY 10306-4056
Phone
(718) 874-6002
NPI assigned
Jan 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00788700 NY Primary
Athletic Trainer 2255A2300X 002908 NY
Athletic Trainer 2255A2300X 25MT00209700 NY

Addresses

Primary practice location

2950 Hylan Blvd Ste 100
Staten Island, NY 10306-4056

Mailing address

245 Kramer Ave
Staten Island, NY 10309-4226
Phone (718) 702-3659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204001544 NJ Practitioner - Chiropractic 6709279201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002908NYMDBehavioral Analyst
38MC00788700NYMDChiropractor
25MT00209700NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Staten Island Chiropractic & Sports Rehab P.C. Chiropractor CurrentSince Oct 5, 2025 Accepting new patients
Back and Body Pain Relief LLC Chiropractor CurrentSince Jan 20, 2022 Accepting new patients

Locations

355 US Highway 22 E
Ste D
Springfield, NJ 07081
Phone (908) 325-3000

2950 Hylan Blvd
Ste 100
Staten Island, NY 10306
Phone (718) 874-6002

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1265898662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 KRAMER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094226",
            "telephone_number": "718-702-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HYLAN BLVD STE 100",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064056",
            "telephone_number": "718-874-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINLIONICA",
        "first_name": "ROBERT",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "38MC00788700",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002908",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "25MT00209700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.