Active NPI
David Scott Fuggetta, D.C.
- Chiropractor
- Howard Beach, NY
National Provider Identifier
1629155627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009366-1
- Practice address
- 9117 157TH Ave
Howard Beach, NY 11414-2741 - Phone
- (718) 845-6600
- Fax
- (718) 738-1782
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009366-1 | NY | Primary |
Addresses
Primary practice location
9117 157TH Ave
Howard Beach, NY 11414-2741
Mailing address
9117 157TH Ave
Howard Beach, NY 11414-2741
Phone (718) 845-6600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5806185 | Other | NY | GHI |
| 617429 | Other | NY | UNITED HEALTHCARE |
| P2162430 | Other | NY | OXFORD HEALTHCARE |
| X0G810 | Other | NY | BLUECROSS/BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
91 -17
Howard Beach, NY 11414-2741
9117 157TH Ave
Howard Beach, NY 11414-2741
Phone (718) 845-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009366-1 | NY | MD | Chiropractor |
| 009366 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockwood Park Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
9117 157th Ave
Jamaica, NY 11414
Phone (718) 564-4031
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Howard Beach, NY
- NPI 1467539478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1629155627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9117 157TH AVE",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114142741",
"telephone_number": "718-845-6600",
"fax_number": "718-738-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9117 157TH AVE",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114142741",
"telephone_number": "718-845-6600",
"fax_number": "718-738-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGGETTA",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009366-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5806185",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "617429",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTHCARE",
"identifier": "P2162430",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "X0G810",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.