Organization Active NPI

Elite Sports Chiropractic

  • Sports Physician Chiropractor
  • Merrick, NY
National Provider Identifier
1043516933
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X011118 Issued in NY
Legal business name
ELITE SPORTS CHIROPRACTIC
Practice address
17A Merrick Ave
Merrick, NY 11566-3444
Phone
(516) 987-4336
Fax
(516) 385-8144
NPI assigned
Feb 10, 2011
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Dr. Jennifer Amato, DC
Title
Owner
Phone
(516) 987-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X X011118 NY Primary

Addresses

Primary practice location

17A Merrick Ave
Merrick, NY 11566-3444

Mailing address

3642 Centerview Ave
Wantagh, NY 11793-2753
Phone (516) 987-4336

National Provider Directory

National Provider Directory

Locations

17A Merrick Ave
Merrick, NY 11566
Phone (516) 987-4336

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": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1043516933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 CENTERVIEW AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932753",
            "telephone_number": "516-987-4336",
            "fax_number": "516-385-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17A MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663444",
            "telephone_number": "516-987-4336",
            "fax_number": "516-385-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-987-4336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X011118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.