Organization Active NPI

Nassau Chiropractic, PC

  • Chiropractor
  • Valley Stream, NY
National Provider Identifier
1164727491
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007733 Issued in NY
Legal business name
NASSAU CHIROPRACTIC, PC
Practice address
1 Raisig Ave
Valley Stream, NY 11580-3217
Phone
(516) 887-8808
Fax
(516) 887-8809
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Craig Joseph Chamberlain, D.C.
Title
Chiropractor/President
Phone
(516) 314-3924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X007733 NY Primary

Addresses

Primary practice location

1 Raisig Ave
Valley Stream, NY 11580-3217

Mailing address

1 Raisig Ave
Valley Stream, NY 11580-3217
Phone (516) 887-8808

National Provider Directory

National Provider Directory

Locations

54 N Country Rd
Ste 4
Miller Place, NY 11764
Phone (631) 331-2272

1 Raisig Ave
Valley Stream, NY 11580
Phone (516) 887-8808

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1164727491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RAISIG AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803217",
            "telephone_number": "516-887-8808",
            "fax_number": "516-887-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RAISIG AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803217",
            "telephone_number": "516-887-8808",
            "fax_number": "516-887-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "516-314-3924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.