Organization Active NPI

Riverside Chiropractic of Ny PC

  • Chiropractor
  • Poughkeepsie, NY
National Provider Identifier
1932878055
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RIVERSIDE CHIROPRACTIC OF NY PC
Practice address
695 Dutchess Tpke Ste 103
Poughkeepsie, NY 12603-6443
Phone
(845) 493-1080
Fax
(855) 347-7879
NPI assigned
Sep 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Authorized official

Name
Dr. Giulio Caruso, DCNPI 1285770511
Title
Owner Provider
Phone
(917) 648-1779

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 Primary

Addresses

Primary practice location

695 Dutchess Tpke Ste 103
Poughkeepsie, NY 12603-6443

Mailing address

PO Box 833
Red Bank, NJ 07701-0833
Phone (917) 648-1779

Other practice location 1

4 Hdsn Vly Prof Plz
Newburgh, NY 12550-3157
Phone (845) 420-6032

Other identifiers 1

IdentifierTypeStateIssuer
1669022117OtherNYMICHAEL YOUNAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DrGCaruso@msgent.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

695 Dutchess Tpke
Ste 103
Poughkeepsie, NY 12603
Phone (845) 337-1333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1932878055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077010833",
            "telephone_number": "917-648-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 DUTCHESS TPKE STE 103",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036443",
            "telephone_number": "845-493-1080",
            "fax_number": "855-347-7879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Hdsn Vly Prof Plz",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125503157",
            "country_code": "US",
            "telephone_number": "845-420-6032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERSIDE CHIROPRACTIC OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "GIULIO",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "917-648-1779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL YOUNAN",
            "identifier": "1669022117",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DrGCaruso@msgent.com",
            "affiliation": "N",
            "endpointDescription": "managing administrator",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "695 Dutchess Tpke Ste 103",
            "city": "Poughkeepsie",
            "state": "NY",
            "country_code": "US",
            "postal_code": "126036443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.