Organization Active NPI

Atlantic Chiropractic and Rehabilitation P.C.

  • Chiropractor
  • East Meadow, NY
National Provider Identifier
1578974077
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011791-1 Issued in NY
Legal business name
ATLANTIC CHIROPRACTIC AND REHABILITATION P.C.
Practice address
2088 Front St
East Meadow, NY 11554-1709
Phone
(516) 222-2455
Fax
(516) 222-2459
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. Gonzalo Patricio Corridori, D.C.
Title
Owner/Operator
Phone
(516) 222-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011791-1 NY Primary

Addresses

Primary practice location

2088 Front St
East Meadow, NY 11554-1709

Mailing address

2088 Front St
East Meadow, NY 11554-1709
Phone (516) 222-2455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1578974077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541709",
            "telephone_number": "516-222-2455",
            "fax_number": "516-222-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541709",
            "telephone_number": "516-222-2455",
            "fax_number": "516-222-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CHIROPRACTIC AND REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "CORRIDORI",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "PATRICIO",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "516-222-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.