Individual provider Active NPI

Anthony Radi, D.C.

  • Chiropractor
  • Floral Park, NY
National Provider Identifier
1750315115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004383-1 Issued in NY
Practice address
99 Tulip Ave Ste 305
Floral Park, NY 11001-1974
Phone
(516) 244-9251
Fax
(860) 760-6366
NPI assigned
Jul 10, 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 X004383-1 NY Primary

Addresses

Primary practice location

99 Tulip Ave Ste 305
Floral Park, NY 11001-1974

Mailing address

PO Box 8031
Hicksville, NY 11802-8031
Phone (516) 244-9251

Other identifiers 1

IdentifierTypeStateIssuer
X7F141OtherNYEMPIRE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004383-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750315115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8031",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118028031",
            "telephone_number": "516-244-9251",
            "fax_number": "860-760-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE STE 305",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011974",
            "telephone_number": "516-244-9251",
            "fax_number": "860-760-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADI",
        "first_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004383-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "X7F141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.