Active NPI
Muriel Fortune, CHIROPRACTOR
- Chiropractor
- Freeport, NY
National Provider Identifier
1023514510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012971
- Practice address
- 31 Guy Lombardo Ave
Freeport, NY 11520-3632 - Phone
- (516) 213-4610
- NPI assigned
- Apr 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012971 | NY | Primary |
Addresses
Primary practice location
31 Guy Lombardo Ave
Freeport, NY 11520-3632
Mailing address
702 John St
North Baldwin, NY 11510-1811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X012971 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Rehabilitation, PC | Current | Accepting new patients | |
| Our Gentle Touch Chiropractic of the Bronx, P.C. | Chiropractor | Current | Accepting new patients |
| Our Gentle Touch Chiropractic, PC | Chiropractor | Current | Accepting new patients |
| Freeport Pain Managment PC. | Past | Accepting new patients | |
| Walter E. Mendoza Chiropractor, P.C | Past | Accepting new patients |
Locations
2000 E Gun Hill Rd
Bronx, NY 10469
Phone (718) 320-0400
1740 84th St
Brooklyn, NY 11214
Phone (718) 232-3666
68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500
8 Bond St
Ste 201
Great Neck, NY 11021
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Chiropractor
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- NPI 1356691497
-
- Specialist
- Freeport, NY
- NPI 1164751533
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- Sports Physician Chiropractor
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- NPI 1629198908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1023514510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 JOHN ST",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 GUY LOMBARDO AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203632",
"telephone_number": "516-213-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNE",
"first_name": "MURIEL",
"credential": "CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.