Individual provider Active NPI

Michael Atunzu, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1982302329
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013695 Issued in NY
Practice address
180 W 80TH St
Mezzanine Floor
New York, NY 10024-6378
Phone
(212) 579-2858
NPI assigned
Feb 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013695 NY Primary

Addresses

Primary practice location

180 W 80TH St
Mezzanine Floor
New York, NY 10024-6378

Mailing address

180 W 80TH St
Mezzanine Floor
New York, NY 10024-6378

Other identifiers 1

IdentifierTypeStateIssuer
013695OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302001494 NY Practitioner - Chiropractic 2264805803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Balanced Nyc Medical PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

180 W 80th St
New York, NY 10024
Phone (212) 579-2858

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1982302329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W 80TH ST",
            "address_2": "MEZZANINE FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W 80TH ST",
            "address_2": "MEZZANINE FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246378",
            "telephone_number": "212-579-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATUNZU",
        "first_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "013695",
            "state": "NY"
        }
    ],
    "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 Feb 16, 2023; 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.