NPIMap

Organization Active NPI

Water Street Chiropractic PC

  • Chiropractor
  • New York, NY
National Provider Identifier
1174169106
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WATER STREET CHIROPRACTIC PC
Practice address
1 New York PLZ Ste L
New York, NY 10004-1901
Phone
(212) 256-1171
Fax
(212) 256-1172
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Sean CotterNPI 1255410759
Title
President
Phone
(212) 256-1171

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 Primary

Addresses

Primary practice location

1 New York PLZ Ste L
New York, NY 10004-1901

Mailing address

1 New York PLZ Ste L
New York, NY 10004-1901
Phone (212) 256-1171

National Provider Directory

National Provider Directory

Locations

1 New York Plz
Ste L
New York, NY 10004
Phone (212) 256-1171

Practitioners & affiliated clinicians

Practitioners 4

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1174169106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NEW YORK PLZ STE L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041901",
            "telephone_number": "212-256-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEW YORK PLZ STE L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041901",
            "telephone_number": "212-256-1171",
            "fax_number": "212-256-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER STREET CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-256-1171"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Apr 29, 2020; 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.