Individual provider Active NPI

Robert Attanasio, DC

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1598901472
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008718 Issued in NY
Practice address
24 Bradley Ave
Staten Island, NY 10314-4403
Phone
(718) 667-5761
Fax
(718) 667-4997
NPI assigned
Dec 26, 2008
Last updated
Dec 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 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 X008718 NY Primary

Addresses

Primary practice location

24 Bradley Ave
Staten Island, NY 10314-4403

Mailing address

PO Box 90537
Staten Island, NY 10309-0537
Phone (718) 667-5761

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X008718NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1598901472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90537",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103090537",
            "telephone_number": "718-667-5761",
            "fax_number": "718-667-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BRADLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144403",
            "telephone_number": "718-667-5761",
            "fax_number": "718-667-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTANASIO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.