Individual provider Active NPI

Scott Louis Cavagnuolo, DC

  • Chiropractor
  • East Norwich, NY
National Provider Identifier
1508069733
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010662 Issued in NY
Practice address
914 Oyster Bay Rd
East Norwich, NY 11732
Phone
(516) 922-8181
Fax
(516) 922-8183
NPI assigned
Jun 6, 2007
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010662 NY Primary

Addresses

Primary practice location

914 Oyster Bay Rd
East Norwich, NY 11732

Mailing address

914 Oyster Bay Rd
East Norwich, NY 11732
Phone (516) 922-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010662NYMDChiropractor
010662NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau County Chiropractic, PC Chiropractor Current Accepting new patients
Advanced Physical Therapy of Merrick, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1508069733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 OYSTER BAY RD",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "11732",
            "telephone_number": "516-922-8181",
            "fax_number": "516-922-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 OYSTER BAY RD",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "11732",
            "telephone_number": "516-922-8181",
            "fax_number": "516-922-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAGNUOLO",
        "first_name": "SCOTT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.