Individual provider Active NPI

Robert D Fabrizio, DC

  • Chiropractor
  • Baldwin, NY
National Provider Identifier
1730282104
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3417 Issued in NY
Practice address
960 Atlantic Ave Ste 2
Baldwin, NY 11510-4265
Phone
(516) 379-4440
Fax
(516) 379-5187
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X3417 NY Primary

Addresses

Primary practice location

960 Atlantic Ave Ste 2
Baldwin, NY 11510-4265

Mailing address

960 Atlantic Ave Ste 2
Baldwin, NY 11510-4265
Phone (516) 379-4440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000551 NY Practitioner - Chiropractic 2769649763 Practice locations: Baldwin, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

860 Atlantic Ave
Baldwin, NY 11510-4063

960 Atlantic Ave
Baldwin, NY 11510-4265
Phone (516) 379-4440

Robert D Fabrizio DC
960 Atlantic Ave
Baldwin, NY 11510-4265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X3417NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1730282104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 ATLANTIC AVE STE 2",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104265",
            "telephone_number": "516-379-4440",
            "fax_number": "516-379-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 ATLANTIC AVE STE 2",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104265",
            "telephone_number": "516-379-4440",
            "fax_number": "516-379-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIZIO",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.