Individual provider Active NPI

Bruce Aaron Numeroff, D.C.

  • Chiropractor
  • Pomona, NY
National Provider Identifier
1174645097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005706 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.