Organization Active NPI

Joseph V Tuttolomondo, P.a.

  • Chiropractor
  • Lake Worth, FL
National Provider Identifier
1790053585
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7514 Issued in FL
Legal business name
JOSEPH V TUTTOLOMONDO, P.A.
Practice address
4095 State Road 7
Suite I
Lake Worth, FL 33449-8179
Phone
(561) 868-0321
Fax
(561) 868-5707
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Joseph Vincent Tuttolomondo, B.S., D.C.NPI 1144371535
Title
President
Phone
(561) 868-0321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7514 FL Primary

Addresses

Primary practice location

4095 State Road 7
Suite I
Lake Worth, FL 33449-8179

Mailing address

4095 State Road 7
Suite I
Lake Worth, FL 33449-8179
Phone (561) 868-0321

Other names 1

  • WYCLIFFE HEALTH & WELLNESS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111212000241 FL Part B Supplier - Clinic/Group Practice 8123293677 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

4095 S State Road 7
Ste I
Lake Worth, FL 33449
Phone (561) 868-0321

125 S State Road 7
Ste 103
Wellington, FL 33414
Phone (561) 792-4016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1790053585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 STATE ROAD 7",
            "address_2": "SUITE I",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498179",
            "telephone_number": "561-868-0321",
            "fax_number": "561-868-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 STATE ROAD 7",
            "address_2": "SUITE I",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498179",
            "telephone_number": "561-868-0321",
            "fax_number": "561-868-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH V TUTTOLOMONDO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "TUTTOLOMONDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-868-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYCLIFFE HEALTH & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.