Organization Active NPI

Cafe of Life Chiropractic

  • Chiropractor
  • Bellmore, NY
National Provider Identifier
1003976366
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011276 Issued in NY
Legal business name
CAFE OF LIFE CHIROPRACTIC
Practice address
2439 Grand Ave
Bellmore, NY 11710-3547
Phone
(516) 425-0113
NPI assigned
Dec 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Joshua E Siegel, D.C.
Title
Owner
Phone
(516) 425-0113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011276 NY Primary

Addresses

Primary practice location

2439 Grand Ave
Bellmore, NY 11710-3547

Mailing address

PO Box 32
Bellmore, NY 11710-0032
Phone (516) 425-0113

National Provider Directory

National Provider Directory

Locations

2439 Grand Ave
Bellmore, NY 11710
Phone (516) 221-3310

100 W Park Ave
Ste 202
Long Beach, NY 11561
Phone (516) 425-0113

Practitioners & affiliated clinicians

Practitioners 2

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": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1003976366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117100032",
            "telephone_number": "516-425-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 GRAND AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103547",
            "telephone_number": "516-425-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAFE OF LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-425-0113",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.