Organization Active NPI

New Life Family Chiropractic, PC

  • Chiropractor
  • New City, NY
National Provider Identifier
1003068404
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011438-1 Issued in NY
Legal business name
NEW LIFE FAMILY CHIROPRACTIC, PC
Practice address
132 Park Ave
New City, NY 10956-5000
Phone
(845) 517-0520
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Craig T Nugent, DC
Title
Owner
Phone
(845) 517-0520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011438-1 NY Primary

Addresses

Primary practice location

132 Park Ave
New City, NY 10956-5000

Mailing address

132 Park Ave
New City, NY 10956-5000
Phone (845) 517-0520

Other names 1

  • NEW LIFE CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090225000073 NY Part B Supplier - Clinic/Group Practice 9537224613 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

100 Phillips Hill Rd
Ste 2W
New City, NY 10956
Phone (845) 517-0520

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1003068404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PARK AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565000",
            "telephone_number": "845-517-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PARK AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565000",
            "telephone_number": "845-517-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-517-0520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011438-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW LIFE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.