Individual provider Active NPI

Andrea Lorusso-Pesiri, D.C.

  • Chiropractor
  • New Hyde Park, NY
National Provider Identifier
1679653547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006866 Issued in NY
Practice address
1825 New Hyde Park Rd
New Hyde Park, NY 11040-2027
Phone
(516) 775-7654
Fax
(516) 775-7656
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006866 NY Primary

Addresses

Primary practice location

1825 New Hyde Park Rd
New Hyde Park, NY 11040-2027

Mailing address

1825 New Hyde Park Rd
New Hyde Park, NY 11040-2027
Phone (516) 775-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000401 NY Practitioner - Chiropractic 5092908269 Practice locations: New Hyde Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006866NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679653547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402027",
            "telephone_number": "516-775-7654",
            "fax_number": "516-775-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402027",
            "telephone_number": "516-775-7654",
            "fax_number": "516-775-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORUSSO-PESIRI",
        "first_name": "ANDREA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.