Individual provider Active NPI

Sharyn Heather Wagreich, D.C.

  • Rehabilitation Chiropractor
  • New York, NY
National Provider Identifier
1144397803
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
X006443-1 Issued in NY
Practice address
347 5TH Ave RM 1505
New York, NY 10016-5049
Phone
(212) 679-9270
Fax
(212) 679-3826
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X X006443-1 NY Primary

Addresses

Primary practice location

347 5TH Ave RM 1505
New York, NY 10016-5049

Mailing address

347 5TH Ave RM 1505
New York, NY 10016-5049
Phone (212) 679-9270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000030 NY Practitioner - Chiropractic 1052595055 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37 E 28TH St
New York, NY 10016-7919
Phone (212) 679-9270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006443-1NYMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sharyn Wagreich, DC, P.C. CurrentSince Dec 27, 2020 Accepting new patients

Locations

347 5th Ave
Rm 1505
New York, NY 10016
Phone (212) 679-9270

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1144397803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 1505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165049",
            "telephone_number": "212-679-9270",
            "fax_number": "212-679-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 1505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165049",
            "telephone_number": "212-679-9270",
            "fax_number": "212-679-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGREICH",
        "first_name": "SHARYN",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X006443-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.