NPIMap

Organization Active NPI

Elmsford Chiropractic PLLC

  • Chiropractor
  • Elmsford, NY
National Provider Identifier
1053443754
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELMSFORD CHIROPRACTIC PLLC
Practice address
64 S Central Ave
Elmsford, NY 10523-3505
Phone
(914) 345-6700
Fax
(914) 345-6025
NPI assigned
Mar 9, 2007
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Brett Axelrod, D.CNPI 1457492126
Title
Owner
Phone
(914) 345-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

64 S Central Ave
Elmsford, NY 10523-3505

Mailing address

64 S Central Ave
Elmsford, NY 10523-3505
Phone (914) 345-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000047 NY Part B Supplier - Clinic/Group Practice 1951480193 Receives reassigned benefits from 6 practitioners
Practice locations: Elmsford, NY

National Provider Directory

National Provider Directory

Locations

64 S Central Ave
Elmsford, NY 10523
Phone (914) 345-6700

Practitioners & affiliated clinicians

Practitioners 10

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1053443754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 S CENTRAL AVE",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105233505",
            "telephone_number": "914-345-6700",
            "fax_number": "914-345-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 S CENTRAL AVE",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105233505",
            "telephone_number": "914-345-6700",
            "fax_number": "914-345-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMSFORD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "AXELROD",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-345-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.