Individual provider Active NPI

Gerard James Fusaro, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1750592853
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X033339 Issued in NY
Practice address
230 E 48TH St # 1B
New York, NY 10017-1509
Phone
(516) 410-3640
Fax
(212) 288-2713
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X033339 NY Primary

Addresses

Primary practice location

230 E 48TH St # 1B
New York, NY 10017-1509

Mailing address

48 Leonard Dr
Massapequa, NY 11758-7920
Phone (516) 410-3640

Other identifiers 1

IdentifierTypeStateIssuer
229800OtherNYWCB

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
X033339NYMDChiropractor
003339NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwell Diagnostic Group LLC PastSince Feb 1, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1750592853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LEONARD DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587920",
            "telephone_number": "516-410-3640",
            "fax_number": "212-208-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 48TH ST # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171509",
            "telephone_number": "516-410-3640",
            "fax_number": "212-288-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSARO",
        "first_name": "GERARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X033339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB",
            "identifier": "229800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.