Active NPI
Bruce Aaron Numeroff, D.C.
- Chiropractor
- Pomona, NY
National Provider Identifier
1174645097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005706
- Practice address
- 978 Route 45
Suite 109
Pomona, NY 10970-3521 - Phone
- (845) 354-1064
- Fax
- (845) 354-2809
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005706 | NY | Primary |
Addresses
Primary practice location
978 Route 45
Suite 109
Pomona, NY 10970-3521
Mailing address
978 Route 45
Suite 109
Pomona, NY 10970-3521
Phone (845) 354-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040617001428 | NY | Practitioner - Chiropractic | 8022092824 | Practice locations: Nanuet, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
259 S Middletown Rd
Nanuet, NY 10954-3327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomona Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
978 Route 45
Ste 109
Pomona, NY 10970
Phone (845) 354-1064
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.
-
- Chiropractor
- Pomona, NY
- NPI 1649489295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174645097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 ROUTE 45",
"address_2": "SUITE 109",
"city": "POMONA",
"state": "NY",
"postal_code": "109703521",
"telephone_number": "845-354-1064",
"fax_number": "845-354-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 ROUTE 45",
"address_2": "SUITE 109",
"city": "POMONA",
"state": "NY",
"postal_code": "109703521",
"telephone_number": "845-354-1064",
"fax_number": "845-354-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUMEROFF",
"first_name": "BRUCE",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "005706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.