Organization Active NPI

Milford Family Chiropractic LLC

  • Chiropractor
  • New York, NY
National Provider Identifier
1114079183
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011513-1 Issued in NY
Legal business name
MILFORD FAMILY CHIROPRACTIC LLC
Practice address
240 Central Park S Ste 2-0
New York, NY 10019-1452
Phone
(212) 707-8585
Fax
(212) 707-8123
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. Jill Susan Goldberg, D.C.NPI 1801935689
Title
Chiropractor Owner
Phone
(212) 707-8585

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2013 MA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 01700 MD
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00033732 WA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 011513-1 NY Primary

Addresses

Primary practice location

240 Central Park S Ste 2-0
New York, NY 10019-1452

Mailing address

240 Central Park S Ste 2-0
New York, NY 10019-1452
Phone (212) 707-8585

Other names 1

  • Central Park Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

240 Central Park S
Ste 20
New York, NY 10019
Phone (212) 265-0255

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1114079183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S STE 2-0",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191452",
            "telephone_number": "212-707-8585",
            "fax_number": "212-707-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S STE 2-0",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191452",
            "telephone_number": "212-707-8585",
            "fax_number": "212-707-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "212-707-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2013",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01700",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033732",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011513-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Park Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.