Individual provider Active NPI

Edmund F Ceribelli, DC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1326196965
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004808 Issued in NY
Practice address
380 Grove St
Brooklyn, NY 11237-5503
Phone
(718) 628-5977
Fax
(718) 628-5978
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004808 NY Primary

Addresses

Primary practice location

380 Grove St
Brooklyn, NY 11237-5503

Mailing address

8 Bond St
Ste 201
Great Neck, NY 11021-2418
Phone (516) 466-4900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090521000379 NY Practitioner - Chiropractic 9133278104 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004808NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Our Gentle Touch Chiropractic, PC Chiropractor CurrentSince Aug 7, 2018 Accepting new patients
Our Gentle Touch Chiropractic of the Bronx, P.C. Chiropractor CurrentSince Aug 7, 2018 Accepting new patients
Chiropractic Rehabilitation, PC CurrentSince Aug 7, 2018 Accepting new patients

Locations

2000 E Gun Hill Rd
Bronx, NY 10469
Phone (718) 320-0400

1740 84th St
Brooklyn, NY 11214
Phone (718) 232-3666

68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500

8 Bond St
Ste 201
Great Neck, NY 11021

Organizations & group practices 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1326196965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BOND ST",
            "address_2": "STE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212418",
            "telephone_number": "516-466-4900",
            "fax_number": "516-466-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 GROVE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375503",
            "telephone_number": "718-628-5977",
            "fax_number": "718-628-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERIBELLI",
        "first_name": "EDMUND",
        "middle_name": "F",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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, 2020; 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.