Complete Chiropractic Rehabilitation PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COMPLETE CHIROPRACTIC REHABILITATION PC

Practice address

140 Belle Mead Rd
Suite D
Setauket, NY 11733-6400

Phone

(631) 689-8662

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward Tanza Jr., DC

Title

Manager

Phone

(631) 689-8662

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Gucciardi, DC

  • Chiropractor
  • East Setauket, NY
  • NPI 1760547202
  NPD (past)
• Sean P Trujillo, DC

  • Chiropractor
  • East Setauket, NY
  • NPI 1033274592
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1992834543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N BELLE MEAD AVE STE D",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336400",
            "telephone_number": "631-689-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BELLE MEAD RD",
            "address_2": "SUITE D",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117336400",
            "telephone_number": "631-689-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "TANZA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-689-8662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Cavanagh, LCSW
• Jeannelle Chaperon, CNM
• Judith Ann Chown, MD
• Christopher R. Page, M.D., PLLC
• Kathleen Chung, OTRL
• Amanda Connelly
• Alan Stuart Cooper, M.D.
• Katherine M Coppeto, LMSW
• John Leo Coulehan, M.D.
• Natashia Marie Crump, MSW

• Chiropractor in Setauket, NY
• Providers in Setauket, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.