Steven Michael Gervasio, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011710-1 Issued in NY

Practice address

5500 Merrick Rd
Massapequa, NY 11758-6231

Phone

(516) 541-8933

Fax

(516) 549-5034

NPI assigned

Jun 11, 2009

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• Island Chiropractic Wellness P.C.

  • Nutrition Chiropractor
  • Massapequa, NY
  • NPI 1538391099
  NPD (past) Authorized official
• All Island Chiropractic & Physical Therapy, PLLC

  • Chiropractor
  • Bay Shore, NY
  • NPI 1881759843
  NPD (past)

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1447487913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068301",
            "telephone_number": "631-665-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586231",
            "telephone_number": "516-541-8933",
            "fax_number": "516-549-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASIO",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011710-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genovese Drug Stores Inc (Rite Aid Pharmacy 10647)
• Gabrielle Gentz
• Anthony L Geraci, DDS
• Nicole Germano, DO
• Joseph Gervasio, DPM
• Kendra Marie Getaw
• Kristi Geyer
• Andrea E Giliberti, MA ED.
• Kim A. Gill
• Lauren Hope Gilson, MSOT, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.