Organization Active NPI

Peter J. Puleo, D.C., P.C.

  • Chiropractor
  • Seaford, NY
National Provider Identifier
1821155243
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007036-3 Issued in NY
Legal business name
PETER J. PULEO, D.C., P.C.
Practice address
2566 Nelson Dr
Seaford, NY 11783-3615
Phone
(516) 781-4811
Fax
(516) 781-0359
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Peter J Puleo, DCNPI 1013198787
Title
Presidant
Phone
(516) 781-4811

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 X007036-3 NY Primary

Addresses

Primary practice location

2566 Nelson Dr
Seaford, NY 11783-3615

Mailing address

93 Lighthouse Rd
Babylon, NY 11702-4305
Phone (516) 781-4811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000777 NY Part B Supplier - Clinic/Group Practice 8628152790 Receives reassigned benefits from 1 practitioner
Practice locations: Seaford, NY; Massapequa Park, NY

National Provider Directory

National Provider Directory

Locations

4770 Sunrise Hwy
Ste 204
Massapequa Park, NY 11762
Phone (516) 428-3165

Practitioners & affiliated clinicians

Practitioners 2

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1821155243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 LIGHTHOUSE RD",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024305",
            "telephone_number": "516-781-4811",
            "fax_number": "516-781-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 NELSON DR",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833615",
            "telephone_number": "516-781-4811",
            "fax_number": "516-781-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. PULEO, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "PULEO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDANT",
        "authorized_official_telephone_number": "516-781-4811",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007036-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.