Individual provider Active NPI

Neeti Dureja, DC

  • Chiropractor
  • Yonkers, NY
National Provider Identifier
1124083209
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010374 Issued in NY
Practice address
337 Kimball Ave
Yonkers, NY 10704-3032
Phone
(203) 856-8550
Fax
(203) 557-3148
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 010374 NY Primary

Addresses

Primary practice location

337 Kimball Ave
Yonkers, NY 10704-3032

Mailing address

337 Kimball Ave
Yonkers, NY 10704-3032
Phone (203) 856-8550

Other identifiers 2

IdentifierTypeStateIssuer
025220249MedicaidNY
010374OtherNYSTATE LIC NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000120 NY Practitioner - Chiropractic 4981678570 Practice locations: Huntington Station, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 Weston St
Huntington Station, NY 11746-4031
Phone (516) 850-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Health Chiropractic, P.C. Chiropractor Past Accepting new patients
Integrative Medical Care PC Past Accepting new patients
Island Musculoskeletal Care, M.D., P.C. Chiropractor Past Accepting new patients
Island Musculoskeletal Care MD PC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1124083209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 KIMBALL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043032",
            "telephone_number": "203-856-8550",
            "fax_number": "203-557-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 KIMBALL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043032",
            "telephone_number": "203-856-8550",
            "fax_number": "203-557-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUREJA",
        "first_name": "NEETI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025220249",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC NUMBER",
            "identifier": "010374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.