NPIMap

Organization Active NPI

Comprehensive Chiropractic and Rehabilitation P.C.

  • Sports Physician Chiropractor
  • Brooklyn, NY
National Provider Identifier
1093853269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CO09080-5B Issued in NY
Legal business name
COMPREHENSIVE CHIROPRACTIC AND REHABILITATION P.C.
Practice address
1513 Voorhies Ave
Lower Level
Brooklyn, NY 11235-3994
Phone
(718) 332-5617
Fax
(718) 332-0448
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Xerxes Oshidar, DC
Title
President
Phone
(718) 332-5617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CO09080-5B NY Primary

Addresses

Primary practice location

1513 Voorhies Ave
Lower Level
Brooklyn, NY 11235-3994

Mailing address

1513 Voorhies Ave
Lower Level
Brooklyn, NY 11235-3994
Phone (718) 332-5617

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Chiropractic and Rehabilitation PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1513 Voorhies Ave
Lowr
Brooklyn, NY 11235
Phone (718) 332-5617

Practitioners & affiliated clinicians

Practitioners 2

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093853269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 VOORHIES AVE",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353994",
            "telephone_number": "718-332-5617",
            "fax_number": "718-332-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 VOORHIES AVE",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353994",
            "telephone_number": "718-332-5617",
            "fax_number": "718-332-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CHIROPRACTIC AND REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSHIDAR",
        "authorized_official_first_name": "XERXES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-5617",
        "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": "CO09080-5B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.