Active NPI
George J Watson, D.C
- Chiropractor
- Great Neck, NY
National Provider Identifier
1093871550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008983
- Practice address
- 55 Northern Blvd
Suite 103
Great Neck, NY 11021-4058 - Phone
- (516) 466-9300
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008983 | NY | Primary |
Addresses
Primary practice location
55 Northern Blvd
Suite 103
Great Neck, NY 11021-4058
Mailing address
101 Cambon Ave
Saint James, NY 11780-3001
Phone (516) 287-6289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008983 | NY | MD | Chiropractor |
| 008983 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093871550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CAMBON AVE",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117803001",
"telephone_number": "516-287-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 NORTHERN BLVD",
"address_2": "SUITE 103",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214058",
"telephone_number": "516-466-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.