James Gucciardi, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010407-1 Issued in NY

Practice address

5 S Jersey Ave
East Setauket, NY 11733-2045

Phone

(631) 675-2758

Fax

(631) 675-2760

NPI assigned

Dec 26, 2006

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imagine Chiropractic Healthcare, PLLC

  dba Champion Performance and Rehabilitation

  • Chiropractor
  • East Setauket, NY
  • NPI 1003118969
  Authorized official Same address or phone
• Complete Chiropractic Rehabilitation PC

  • Chiropractor
  • Setauket, NY
  • NPI 1992834543
  NPD (past)
• Island Chiropractic Pain Care

  • Chiropractor
  • Stony Brook, NY
  • NPI 1780713362
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1760547202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117800202",
            "telephone_number": "631-675-2758",
            "fax_number": "631-675-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S JERSEY AVE",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332045",
            "telephone_number": "631-675-2758",
            "fax_number": "631-675-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCCIARDI",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010407-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd R Griffin, M.D.
• Rosemary Griffith, CNM, NP
• Patricia Gronell
• Luis Gruberg, M.D.
• Michelle Vera Guarriello, PHARM.D.
• Jane Lindsay Gudaitis, PSY.D.
• Michael Guido III, M.D.
• Alexandra Guillaume, MD
• Frederick Gutman, M.D.
• Danielle Veronika Hagen, MASSAGE THERAPIST

• Chiropractor in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.