Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1215949243 Deactivated / Inactive NPI Male Practitioner

Dr. Robert J Petosa , DC

Chiropractor • Staten Island, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Petosa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2006
NPI Deactivation Date June 26, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Petosa, DC was a registered Chiropractor practicing in Staten Island, NY. Throughout an active medical career spanning 19 years, Dr. Petosa provided care at the practice location at 11 RALPH PLACE until profile deactivation on 2025-06-26.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

11 Ralph Place
Ste 314

Staten Island, NY 10304

Telephone 7188153033
Fax 7188153191
Associated Practice Facility / Clinic
🏢 Emerson Medical Pllc Facility NPI 1972723427

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Staten Island, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.1 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
98 Specialists

Practicing in Staten Island, NY (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
402 15 $50.00 $32.23

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NY X0049821

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Deborah Aanonsen , DO

Internal Medicine

NPI 1952395717

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 26, 2025

Record deactivated on June 26, 2025

NPI Profile Active May 13, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 13, 2008

Registered at 11 RALPH PLACE, STE 314, STATEN ISLAND, NY 10304 (Tel: 7188153033)

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Updated Business Mailing Address May 13, 2008

Registered at 11 RALPH PLACE, STE 314, STATEN ISLAND, NY 10304 (Tel: 7188153033)

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Provider Name / Credentials Updated May 13, 2008

Recorded as ROBERT PETOSA, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2008

Chiropractor (License #X0049821 in NY)

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Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215949243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: May 13, 2008
Deactivation Date: June 26, 2025

Mailing Address

11 Ralph Place, Ste 314

Staten Island, NY 10304

Phone: 7188153033

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.