Organization Active NPI

Chiropractic Office PC

  • Chiropractor
  • Albertson, NY
National Provider Identifier
1114377660
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0054001 Issued in NY
Legal business name
CHIROPRACTIC OFFICE PC
Practice address
1176 Willis Ave
Albertson, NY 11507-1229
Phone
(516) 742-0088
Fax
(516) 742-0234
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Ann Forte, DCNPI 1821187675
Title
Owner
Phone
(516) 742-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0054001 NY Primary

Addresses

Primary practice location

1176 Willis Ave
Albertson, NY 11507-1229

Mailing address

1176 Willis Ave
Albertson, NY 11507-1229
Phone (516) 742-0088

Other identifiers 2

IdentifierTypeStateIssuer
0009210OtherNYGHI
P385106OtherNYOXFORD

National Provider Directory

National Provider Directory

Locations

1176 Willis Ave
Albertson, NY 11507
Phone (516) 484-0811

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1114377660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071229",
            "telephone_number": "516-742-0088",
            "fax_number": "516-742-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071229",
            "telephone_number": "516-742-0088",
            "fax_number": "516-742-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "FORTE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-742-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0054001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0009210",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P385106",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.