Active NPI
Milford Family Chiropractic LLC
- Chiropractor
- New York, NY
National Provider Identifier
1114079183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011513-1
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2013 | MA | |
| Chiropractor | 111N00000X | 01700 | MD | |
| Chiropractor | 111N00000X | CH00033732 | WA | |
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Seattle, WA
- NPI 1801935689
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.