NPIMap

Organization Active NPI

Family Chiropractic

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1285769828
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X003524-1 Issued in NY
Legal business name
FAMILY CHIROPRACTIC
Practice address
1850-82 Street
Suite L-2
Brooklyn, NY 11214-2264
Phone
(718) 236-6177
Fax
(718) 236-6178
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Charles A. Fundaro, D.C.NPI 1598890113
Title
Clinic Director
Phone
(718) 236-6177

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 X003524-1 NY Primary

Addresses

Primary practice location

1850-82 Street
Suite L-2
Brooklyn, NY 11214-2264

Mailing address

1850-82 Street
Suite L-2
Brooklyn, NY 11214-2264
Phone (718) 236-6177

Other identifiers 1

IdentifierTypeStateIssuer
CO3524-8BOtherNYNYS WORKER'S COMPENSATION

Other names 1

  • Charles A. Fundaro DC Doing business as

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1285769828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850-82 STREET",
            "address_2": "SUITE L-2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142264",
            "telephone_number": "718-236-6177",
            "fax_number": "718-236-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850-82 STREET",
            "address_2": "SUITE L-2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142264",
            "telephone_number": "718-236-6177",
            "fax_number": "718-236-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "FUNDARO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "718-236-6177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003524-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WORKER'S COMPENSATION",
            "identifier": "CO3524-8B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles A. Fundaro DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.