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MR. ANTONIO G DESPOSITO DC
NPI 1417093022
Chiropractor in Staten Island, NY

Active since January 30, 2007
290 SEGUINE AVENUE, STATEN ISLAND, NY 10309(718) 356-9469(718) 356-8139 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Antonio G Desposito Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTONIO G DESPOSITO DC (NPI 1417093022) is an individual chiropractor in Staten Island, New York, licensed in New York (X0089091) and active in the NPI registry since January 2007. He is a graduate of Life Chiropractic College (1997).

NPPES Registry Identity

NPI1417093022
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. ANTONIO G DESPOSITOCredential: DC
Location Address290 SEGUINE AVENUEStaten Island, NY 10309
Mailing Address290 Seguine AvenueStaten Island, NY 10309 · (718) 356-9469 · Fax (718) 356-8139
Phone(718) 356-9469
Fax(718) 356-8139
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1997
Enumeration DateJanuary 30, 2007
Last NPPES UpdateOctober 5, 2011
✔ NPI 1417093022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X0089091
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
290 SEGUINE AVENUE, Staten Island, NY 10309
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Other Identifiers 2

Medicare ID-Type UnspecifiedX7A481
Medicare UPINU70593

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Antonio G Desposito Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486820198
PECOS Enrollment IDI20180625001642

Medicare Billing Reassignment

Medicare enrollment records show Antonio Desposito reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Natural Medicine & Rehabilitation Center, PA
27 mi
Physical Therapist
1250 ROUTE 28, SUITE 203
Branchburg, NJ 08876
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
NPI 1962444554 (908) 252-0242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
378 services36 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Desposito's NPI number?

The NPI number for Antonio Desposito is 1417093022. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Antonio Desposito located?

Antonio Desposito practices at 290 Seguine Avenue, Staten Island, NY 10309. The listed phone number is (718) 356-9469.

What is Antonio Desposito's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Antonio Desposito enrolled in Medicare?

Yes. Antonio Desposito is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Antonio Desposito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Desposito reassigns Medicare benefits to Natural Medicine & Rehabilitation Center, PA (Branchburg, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Desposito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Antonio Desposito was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.