Organization Active NPI

Mario E Introna D C P C

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1619133188
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0008391 Issued in NY
Legal business name
MARIO E INTRONA D C P C
Practice address
1523 Richmond Rd
Staten Island, NY 10304-2313
Phone
(914) 649-0355
Fax
(845) 278-7987
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Mr. Mario E Introna, DC
Title
Owner
Phone
(914) 649-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X0008391 NY Primary

Addresses

Primary practice location

1523 Richmond Rd
Staten Island, NY 10304-2313

Mailing address

1523 Richmond Rd
Staten Island, NY 10304-2313
Phone (914) 649-0355

National Provider Directory

National Provider Directory

Locations

1523 Richmond Rd
Staten Island, NY 10304
Phone (718) 720-2211

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1619133188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "914-649-0355",
            "fax_number": "845-278-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "914-649-0355",
            "fax_number": "845-278-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO E INTRONA D C P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2024-04-30",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "INTRONA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-649-0355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0008391",
            "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 Apr 30, 2024; 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.