Organization Active NPI

City Chiropractic, P.C.

  • Chiropractor
  • Rego Park, NY
National Provider Identifier
1083842140
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010266 Issued in NY
Legal business name
CITY CHIROPRACTIC, P.C.
Practice address
9256 Queens Blvd
Rego Park, NY 11374-1040
Phone
(718) 426-5100
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Dr. Alex Khait, D.C.NPI 1760566848
Title
Chiropractor
Phone
(917) 676-7770

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X010266 NY Primary

Addresses

Primary practice location

9256 Queens Blvd
Rego Park, NY 11374-1040

Mailing address

2343 E 66TH St
Brooklyn, NY 11234-6325

Other identifiers 1

IdentifierTypeStateIssuer
02264717MedicaidNY

National Provider Directory

National Provider Directory

Locations

9262 Queens Blvd
Rego Park, NY 11374
Phone (718) 396-1000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1083842140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 E 66TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741040",
            "telephone_number": "718-426-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "KHAIT",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "917-676-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02264717",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.