NPIMap

Organization Active NPI

N Y Prohealth Chiropractic P C

Doing business as Health Advantage

  • 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
Doing business as
Health Advantage
Practice address
100 Cypress Dr
Woodbury, NY 11797-1522
Phone
(718) 594-5365
NPI assigned
Jul 3, 2019
Last updated
Jul 30, 2019By the provider in NPPES
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, DCNPI 1184040313
Title
Owner
Phone
(718) 594-5365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.