John Joseph Spano, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

X005506 Issued in NY

Practice address

1247 Suffolk Ave
Suite 4
Brentwood, NY 11717-4518

Phone

(631) 434-7544

NPI assigned

Sep 30, 2006

Sex

Male

Sole proprietor

Yes

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)

Not 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 and National Provider Directory roles.

• In Sync Suffolk Chiropractic P.C.

  • Chiropractor
  • Brentwood, NY
  • NPI 1225700040
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942393368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 SUFFOLK AVE",
            "address_2": "SUITE 4",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174518",
            "telephone_number": "631-434-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 SUFFOLK AVE",
            "address_2": "SUITE 4",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174518",
            "telephone_number": "631-434-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Denise L Spagnuolo, MA, CCC-SLP/TSHH
• Catherine Valle Sparks, RN
• Barry Richard Stabiner
• Gina Stafford, LMFT
• Dennis J Stallone, PHARMACIST
• Station Care NP in Adult Health PC

• Neurology Chiropractor in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Neurology Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.