Active NPI
David Colarusso, D.C.
- Chiropractor
- West Haverstraw, NY
National Provider Identifier
1821044710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8464
- Practice address
- 49 S Route 9W
West Haverstraw, NY 10993-1021 - Phone
- (845) 429-5200
- Fax
- (845) 429-5638
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8464 | NY | Primary |
Addresses
Primary practice location
49 S Route 9W
West Haverstraw, NY 10993-1021
Mailing address
49 S Route 9W
West Haverstraw, NY 10993-1021
Phone (845) 429-5200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8464 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1821044710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 S ROUTE 9W",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "109931021",
"telephone_number": "845-429-5200",
"fax_number": "845-429-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 S ROUTE 9W",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "109931021",
"telephone_number": "845-429-5200",
"fax_number": "845-429-5638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLARUSSO",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "8464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haverstraw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.