Fabio-Bento Sequeira

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013750-01 Issued in NY

Practice address

483 10TH Ave RM 525
New York, NY 10018-9824

Phone

(516) 244-6686

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Living Well Balanced Nyc Medical PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1316692379
  NPD (past)
• One Physical Therapy, P.C.

  • Physical Therapist
  • Syosset, NY
  • NPI 1235436874
  NPD (past)

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1538946231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 PARK TER N",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543510",
            "telephone_number": "516-244-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 10TH AVE RM 525",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100189824",
            "telephone_number": "516-244-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUEIRA",
        "first_name": "FABIO-BENTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013750-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Sepulveda, PTA
• Andrea Sepulveda
• Lewis Sepulveda
• Lucia Sepulveda, LCSW
• Armand Francis Sequeira, RPH
• Maria Sequeira, MD
• Patricia Maria Sequeira, M.D.
• Rachel Pinkerton Sequeira, OT
• Shamsil Hazarika Serabian, LCSW
• Angela Maria Seracini, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.