Organization Active NPI

Fidi Chiropractic P.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1366958159
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIDI CHIROPRACTIC P.C.
Practice address
42 Broadway Ste 1535
New York, NY 10004-1617
Phone
(212) 401-6923
Fax
(212) 401-6923
NPI assigned
Dec 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. Charalampos Bilitsis, DC
Title
Owner
Phone
(718) 744-4137

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 011346 NY

Addresses

Primary practice location

42 Broadway Ste 1535
New York, NY 10004-1617

Mailing address

42 Broadway Ste 1535
New York, NY 10004-1617
Phone (212) 401-6923

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1366958159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BROADWAY STE 1535",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041617",
            "telephone_number": "212-401-6923",
            "fax_number": "212-401-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY STE 1535",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041617",
            "telephone_number": "212-401-6923",
            "fax_number": "212-401-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDI CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-16",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "BILITSIS",
        "authorized_official_first_name": "CHARALAMPOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-744-4137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "NY",
            "license": "011346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.