Individual provider Active NPI

Elliot Strauss, DC

  • Chiropractor
  • Fresh Meadows, NY
National Provider Identifier
1144326083
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3775 Issued in NY
Practice address
18507 64TH Ave
Fresh Meadows, NY 11365-2707
Phone
(718) 445-7121
Fax
(718) 445-7123
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X3775 NY Primary

Addresses

Primary practice location

18507 64TH Ave
Fresh Meadows, NY 11365-2707

Mailing address

18507 64TH Ave
Fresh Meadows, NY 11365-2707
Phone (718) 445-7121

Other identifiers 2

IdentifierTypeStateIssuer
P2160020OtherNYOXFORD
C037756OtherNYWORKERS COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X3775NYMDChiropractor
003775NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1144326083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18507 64TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652707",
            "telephone_number": "718-445-7121",
            "fax_number": "718-445-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18507 64TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652707",
            "telephone_number": "718-445-7121",
            "fax_number": "718-445-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2160020",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "C037756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.