Stephen S Athan, CH
Individual provider Active NPI Chiropractor · Westbury, NY
NPI 1063500155 · NPPES record last updated Dec 18, 2007
Key facts
- NPI
- 1063500155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X008423 (NY)
- Practice address
- 1065 Old Country Rd
Suite 214
Westbury, NY 11590-5640 - Phone
- (516) 334-7000
- Fax
- (516) 334-7082
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Westbury Physical Therapy and Chiropractic PLLC
Practice addresses (Care Compare)
1065 Old Country Rd
Suite 214
Westbury, NY 11590-5628
Phone (631) 334-7000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130506000167 | NY | Practitioner - Chiropractic | 2466467816 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008423 | NY | MD | Chiropractor |
| 008423 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westbury Physical Therapy and Chiropractic PLLC | Chiropractor | Current |
Accepting new patients |
| Acupuncture & Chiropractic Associates of Long Island PLLC | Chiropractor | Current | Accepting new patients |
| B & a Chiropractic PLLC | Chiropractor | Current |
Accepting new patients |
| Bra LLC | Chiropractor | Past |
Accepting new patients |
Locations
1065 Old Country Rd
Ste 206
Westbury, NY 11590
Phone (516) 221-0225
1065 Old Country Rd
Westbury, NY 11590
Phone (516) 333-3737
1065 Old Country Rd
Ste 20
Westbury, NY 11590
1065 Old Country Rd
Ste 214
Westbury, NY 11590
Phone (516) 334-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008423 | NY | Yes |
Addresses
Primary practice location
1065 Old Country Rd
Suite 214
Westbury, NY 11590-5640
Mailing address
1065 Old Country Rd
Suite 206
Westbury, NY 11590-5640
Phone (516) 334-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C08423 | Other | NY | WORKERS' COMPENSATION |
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.