Individual provider Active NPI

Henry Nelson Hall, D.C.

  • Chiropractor
  • Bronx, NY
National Provider Identifier
1124101571
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0043541 Issued in NY
Practice address
2100 Bartow Ave
Ste 227
Bronx, NY 10475-4614
Phone
(718) 320-9000
Fax
(718) 320-9380
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0043541 NY Primary

Addresses

Primary practice location

2100 Bartow Ave
Ste 227
Bronx, NY 10475-4614

Mailing address

1981 Marcus Ave
Ste C114
New Hyde Park, NY 11042-1032
Phone (516) 987-4200

Other identifiers 1

IdentifierTypeStateIssuer
C0043549OtherWCB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120703000366 NY Practitioner - Chiropractic 3476718107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Co-Op City Chiropractic P CGroup PAC ID 2769647734, 2 clinicians

Practice addresses (Care Compare)

2100 Bartow Ave
Suite 227
Bronx, NY 10475-4614
Phone (718) 320-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0043541NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Co-Op City Chiropractic P C Chiropractor CurrentSince Jun 26, 2012 Accepting new patients
Dr. JM Da Silva Psychologist PC Past Accepting new patients

Locations

2100 Bartow Ave
Rm 227
Bronx, NY 10475
Phone (718) 320-9000

1981 Marcus Ave
Ste C114
New Hyde Park, NY 11042
Phone (516) 987-4200

Organizations & group practices 2

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1124101571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 MARCUS AVE",
            "address_2": "STE C114",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421032",
            "telephone_number": "516-987-4200",
            "fax_number": "800-297-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BARTOW AVE",
            "address_2": "STE 227",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754614",
            "telephone_number": "718-320-9000",
            "fax_number": "718-320-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "HENRY",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0043541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB",
            "identifier": "C0043549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.