Active NPI
Nussbaum Chiropractic PLLC
- Radiology Chiropractor
- Albany, NY
National Provider Identifier
1124555024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- 005850
- Legal business name
- NUSSBAUM CHIROPRACTIC PLLC
- Practice address
- 130 Everett Rd
Albany, NY 12205-1418 - Phone
- (518) 482-6175
- Fax
- (518) 459-5134
- NPI assigned
- May 23, 2017
- Organization subpart
- Yes
- Parent organization
- NUSSBAUM CHIROPRACTIC PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Messia-McBride
- Title
- Office Manager
- Phone
- (518) 482-6175
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | 005850 | NY | Primary |
| Radiology Chiropractor | 111NR0200X | X007262-3 | NY | |
| Massage Therapist | 225700000X | 026404-1 | NY |
Addresses
Primary practice location
130 Everett Rd
Albany, NY 12205-1418
Mailing address
130 Everett Rd
Albany, NY 12205-1418
Phone (518) 482-6175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447383369 | Other | NY | NPI |
| 1437192820 | Other | NY | NPI |
Other names 1
- KEITH S NUSSBAUM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Nussbaum Chiropractic PLLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Gansevoort, NY
- NPI 1770010803
-
- Chiropractor
- Loudonville, NY
- NPI 1437192820
-
- Chiropractor
- Albany, NY
- NPI 1205771714
-
- Chiropractor
- Saratoga Springs, NY
- NPI 1447383369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1124555024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 EVERETT RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051418",
"telephone_number": "518-482-6175",
"fax_number": "518-459-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 EVERETT RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051418",
"telephone_number": "518-482-6175",
"fax_number": "518-459-5134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUSSBAUM CHIROPRACTIC PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NUSSBAUM CHIROPRACTIC PLLC",
"enumeration_date": "2017-05-23",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "MESSIA-MCBRIDE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "518-482-6175"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Radiology",
"state": "NY",
"license": "005850",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Radiology",
"state": "NY",
"license": "X007262-3",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "026404-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1447383369",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1437192820",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KEITH S NUSSBAUM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.