NPIMap

Organization Active NPI

Advanced Health Sports & Occupation

  • Chiropractor
  • Stamford, CT
National Provider Identifier
1154337707
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001237 Issued in CT
Legal business name
ADVANCED HEALTH SPORTS & OCCUPATION
Practice address
970 Summer St
Stamford, CT 06905-5542
Phone
(203) 348-0123
Fax
(203) 348-5678
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. Reuben Malkiel, DCNPI 1841218500
Title
President
Phone
(203) 348-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001237 CT Primary

Addresses

Primary practice location

970 Summer St
Stamford, CT 06905-5542

Mailing address

970 Summer St
Stamford, CT 06905-5542
Phone (203) 348-0123

National Provider Directory

National Provider Directory

Locations

130 Morgan St
Stamford, CT 06905
Phone (203) 348-0123

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1154337707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055542",
            "telephone_number": "203-348-0123",
            "fax_number": "203-348-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055542",
            "telephone_number": "203-348-0123",
            "fax_number": "203-348-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH SPORTS & OCCUPATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "MALKIEL",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-348-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.