Steven Pungello, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013345 Issued in NY

Practice address

150 Knickerbocker Ave Ste F
Bohemia, NY 11716-3163

Phone

(845) 238-9651

NPI assigned

Jan 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Full Stride Spine & Sport

  • Chiropractor
  • Bohemia, NY
  • NPI 1043842362
  NPD Authorized official

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1326679689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KNICKERBOCKER AVE STE F",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KNICKERBOCKER AVE STE F",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163163",
            "telephone_number": "845-238-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNGELLO",
        "first_name": "STEVEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Podlaski
• Precision Diagnostic Imaging Inc
• Jasming Price, PSY.D
• Proactive Care Physical Therapy, PC
• Lisa A Prudenti, LMHC
• Tammy Quinones
• Gabrielle Ramage
• Pedro Antonio Ramos
• Christina Frances Randazzo
• Lisa Ann Randberg, PT

• Chiropractor in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.