Individual provider Active NPI

Glen Paritsky, D.C.

  • Chiropractor
  • Islip, NY
National Provider Identifier
1043478837
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X2600 Issued in NY
Practice address
2221 Sunrise Hwy
Islip, NY 11751-2031
Phone
(631) 277-6677
Fax
(631) 665-6468
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X2600 NY Primary

Addresses

Primary practice location

2221 Sunrise Hwy
Islip, NY 11751-2031

Mailing address

2221 Sunrise Hwy
Islip, NY 11751-2031
Phone (631) 277-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002600NYMDMental Health Counselor
X2600NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1043478837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 SUNRISE HWY",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117512031",
            "telephone_number": "631-277-6677",
            "fax_number": "631-665-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 SUNRISE HWY",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117512031",
            "telephone_number": "631-277-6677",
            "fax_number": "631-665-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARITSKY",
        "first_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.