Organization Active NPI

132 North Carll Chiropractic PC

  • Chiropractor
  • Babylon, NY
National Provider Identifier
1164907002
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
132 NORTH CARLL CHIROPRACTIC PC
Practice address
132 N Carll Ave
Babylon, NY 11702-2218
Phone
(631) 482-8829
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
John Milone
Title
Manager
Phone
(516) 541-8933

Specialties & licenses 1

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

Addresses

Primary practice location

132 N Carll Ave
Babylon, NY 11702-2218

Mailing address

132 N Carll Ave
Babylon, NY 11702-2218
Phone (631) 482-8829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121002019 NY Part B Supplier - Clinic/Group Practice 1254766215 Receives reassigned benefits from 1 practitioner
Practice locations: Babylon, NY

National Provider Directory

National Provider Directory

Practitioners 1

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": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1164907002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N CARLL AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022218",
            "telephone_number": "631-482-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N CARLL AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022218",
            "telephone_number": "631-482-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "132 NORTH CARLL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "MILONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-541-8933"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.

Verify at the official NPI Registry.