Individual provider Active NPI

Richard L. Cordaro, D.C., C.C.N

  • Nutritionist
  • Bronx, NY
National Provider Identifier
1487732681
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
004029-1 Issued in NY
Practice address
4730 Richardson Ave
Bronx, NY 10470-1023
Phone
(718) 325-8162
Fax
(718) 324-1685
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006053-1 NY
Nutritionist 133N00000X 004029-1 NY Primary

Addresses

Primary practice location

4730 Richardson Ave
Bronx, NY 10470-1023

Mailing address

4730 Richardson Ave
Bronx, NY 10470-1023
Phone (718) 325-8162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000084 NY Practitioner - Chiropractic 7618164831 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4730 Richardson Ave
Bronx, NY 10470-1023
Phone (718) 325-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006053-1NYMDChiropractor
004029-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487732681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 RICHARDSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701023",
            "telephone_number": "718-325-8162",
            "fax_number": "718-324-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 RICHARDSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701023",
            "telephone_number": "718-325-8162",
            "fax_number": "718-324-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDARO",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006053-1",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "004029-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.