Organization Active NPI

Eastern Health Care Services

  • Clinic/Center
  • New York, NY
National Provider Identifier
1437319126
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EASTERN HEALTH CARE SERVICES
Practice address
331 E 71St St
Suite 1B
New York, NY 10021-4733
Phone
(212) 288-2823
NPI assigned
Jun 16, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gerard Fusaro, D.C.
Title
Owner
Phone
(516) 691-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NY Primary

Addresses

Primary practice location

331 E 71St St
Suite 1B
New York, NY 10021-4733

Mailing address

48 Leonard Dr
Massapequa, NY 11758-7920
Phone (516) 691-0808

Other identifiers 1

IdentifierTypeStateIssuer
229800OtherNYWORKERS COMPENSATION PROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Eastern Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437319126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LEONARD DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587920",
            "telephone_number": "516-691-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E 71ST ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214733",
            "telephone_number": "212-288-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FUSARO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-691-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION PROVIDER ID",
            "identifier": "229800",
            "state": "NY"
        }
    ],
    "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 Jul 21, 2022; 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.