Island Care Chiropractic of Suffolk PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ISLAND CARE CHIROPRACTIC OF SUFFOLK PC

Practice address

100 W Suffolk Ave Unit G
Central Islip, NY 11722-2155

Phone

(631) 388-1188

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Roberta Peets, DCNPI 1699954396

Title

Vice President

Phone

(631) 993-5400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberta Lynn Peets, DC

  • Chiropractor
  • Central Islip, NY
  • NPI 1699954396
  NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1033976147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SUFFOLK AVE UNIT G",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222155",
            "telephone_number": "631-993-5400",
            "fax_number": "631-203-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SUFFOLK AVE UNIT G",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222155",
            "telephone_number": "631-388-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CARE CHIROPRACTIC OF SUFFOLK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "PEETS",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "631-993-5400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184807968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699954396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Hudson
• Honey Belle Hugo
• Stacy Humann
• Kari Ann Hunter Thompson, PHD
• Tinasia Ada Ingram
• Eunique Jackson, L.P.N
• Jaclyn a. Farino, NP in Adult Health & Psychiatry, PLLC
• Nichole Michelle Jacobsen, RN
• Jamelee Shakira James
• Jaritza Elizabeth Jara

• Chiropractor in Central Islip, NY
• Providers in Central Islip, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.