Individual provider Active NPI

Robert Francis Gucciardo, D.C.

  • Chiropractor
  • Howard Beach, NY
National Provider Identifier
1720154297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008171 Issued in NY
Practice address
16207 91St St
Howard Beach, NY 11414-3427
Phone
(718) 845-2323
Fax
(718) 323-5902
NPI assigned
Nov 28, 2006
Sex
Male
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 X008171 NY Primary

Addresses

Primary practice location

16207 91St St
Howard Beach, NY 11414-3427

Mailing address

16207 91St St
Howard Beach, NY 11414-3427
Phone (718) 845-2323

Other identifiers 1

IdentifierTypeStateIssuer
02128OtherNYGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000284 NY Practitioner - Chiropractic 2264692813 Practice locations: Howard Beach, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16207 91St St
Howard Beach, NY 11414-3427
Phone (718) 845-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008171NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720154297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16207 91ST ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143427",
            "telephone_number": "718-845-2323",
            "fax_number": "718-323-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16207 91ST ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143427",
            "telephone_number": "718-845-2323",
            "fax_number": "718-323-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCCIARDO",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "02128",
            "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 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.
  • 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.

Verify at the official NPI Registry.