Organization Active NPI

Eastern Healthcare DC PC

  • Chiropractor
  • New York, NY
National Provider Identifier
1942741632
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X033339 Issued in NY
Legal business name
EASTERN HEALTHCARE DC PC
Practice address
331 E 71St St
Ste 1B
New York, NY 10021-4733
Phone
(516) 557-7596
Fax
(847) 886-7525
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Gerard James Fusaro, D.C
Title
Provider
Phone
(516) 557-7596

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X033339 NY Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 022715 NY

Addresses

Primary practice location

331 E 71St St
Ste 1B
New York, NY 10021-4733

Mailing address

48 Leonard Dr
Massapequa, NY 11758-7920
Phone (516) 557-7596

National Provider Directory

National Provider Directory
Tax ID family
Eastern Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1942741632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LEONARD DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587920",
            "telephone_number": "516-557-7596",
            "fax_number": "847-886-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E 71ST ST",
            "address_2": "STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214733",
            "telephone_number": "516-557-7596",
            "fax_number": "847-886-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HEALTHCARE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "FUSARO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "516-557-7596",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X033339",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.