Bayshore Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009043 Issued in NY

Legal business name

BAYSHORE CHIROPRACTIC, P.C.

Practice address

1421 Sheepshead Bay Rd
# 594
Brooklyn, NY 11235-3813

Phone

(718) 421-1705

Fax

(516) 378-8088

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Super, DC

Title

President

Phone

(917) 449-7582

Specialties & licenses 1

Addresses

Tax ID family

Bayshore Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bayshore Chiropractic PC

  • Chiropractor
  • Bay Shore, NY
  • NPI 1255646360
  NPD tax ID

Locations

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1023335619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115100315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SHEEPSHEAD BAY RD",
            "address_2": "# 594",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353813",
            "telephone_number": "718-421-1705",
            "fax_number": "516-378-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "SUPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-449-7582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayridge Family Dental Services Inc
• Bayridge Medical Consultants
• Bayridge Medical Imaging, P.C.
• Bayridge Sunset Park Dialysis Center Inc
• Stephanie Nicole Bayron, MS/TSSLD, CCC-SLP
• Anella N Bayshtok, MD
• Julia Bayshtok, D.P.M.
• Bayside Medical Office PC
• Oksana Baytalskiy
• Ilya Baytalsky, R.PH.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.