Organization Active NPI

ABA Chiropractic PC

  • Chiropractor
  • Corona, NY
National Provider Identifier
1104266410
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010303 Issued in NY
Legal business name
ABA CHIROPRACTIC PC
Practice address
10408 Roosevelt Ave
Corona, NY 11368-2328
Phone
(718) 426-6500
Fax
(718) 426-6501
NPI assigned
Jul 1, 2013
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Rita Bangy
Title
Medical Biller
Phone
(718) 454-4356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010303 NY Primary

Addresses

Primary practice location

10408 Roosevelt Ave
Corona, NY 11368-2328

Mailing address

10408 Roosevelt Ave
Corona, NY 11368-2328
Phone (718) 426-6500

National Provider Directory

National Provider Directory

Locations

10408 Roosevelt Ave
Corona, NY 11368
Phone (718) 426-6500

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1104266410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-426-6500",
            "fax_number": "718-426-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-426-6500",
            "fax_number": "718-426-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "BANGY",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "718-454-4356"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.