NPIMap

Organization Active NPI

N Y Prohealth Chiropractic P C

  • Chiropractor
  • Woodbury, NY
National Provider Identifier
1023670684
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
N Y PROHEALTH CHIROPRACTIC P C
Practice address
100 Cypress Dr
Woodbury, NY 11797-1522
Phone
(718) 594-5365
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Khodayar Faiyaz, DC
Title
Owner
Phone
(718) 594-5365

Specialties & licenses 1

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

Addresses

Primary practice location

100 Cypress Dr
Woodbury, NY 11797-1522

Mailing address

100 Cypress Dr
Woodbury, NY 11797-1522
Phone (718) 594-5365

Other names 1

  • Health Advantage Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1023670684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CYPRESS DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971522",
            "telephone_number": "718-594-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CYPRESS DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971522",
            "telephone_number": "718-594-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N Y PROHEALTH CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "FAIYAZ",
        "authorized_official_first_name": "KHODAYAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-594-5365",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Advantage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Advantage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.