Advanced Mua Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009043 Issued in NY

Legal business name

ADVANCED MUA CHIROPRACTIC PC

Practice address

595 Stewart Ave
Suite 750
Garden City, NY 11530-4787

Phone

(516) 307-1345

NPI assigned

Aug 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Super, DC

Title

President

Phone

(516) 307-1345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1124333240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 STEWART AVE",
            "address_2": "SUITE 750",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304787",
            "telephone_number": "516-307-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 STEWART AVE",
            "address_2": "SUITE 750",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304787",
            "telephone_number": "516-307-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MUA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SUPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-307-1345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Garden City, NY
• Providers in Garden City, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.