Organization Active NPI

Brooklyn Spine and Joint Chiropractic, PT Rehab and Acupuncture PLLC

  • Rehabilitation Chiropractor
  • Brooklyn, NY
National Provider Identifier
1194240374
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
NYSX24342 Issued in NY
Legal business name
BROOKLYN SPINE AND JOINT CHIROPRACTIC, PT REHAB AND ACUPUNCTURE PLLC
Practice address
2019 Nostrand Ave
Brooklyn, NY 11210-2549
Phone
(914) 261-7534
NPI assigned
Aug 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robert Reiss, DC
Title
Managing Partner
Phone
(914) 261-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X NYSX24342 NY Primary

Addresses

Primary practice location

2019 Nostrand Ave
Brooklyn, NY 11210-2549

Mailing address

2019 Nostrand Ave
Brooklyn, NY 11210-2549
Phone (914) 261-7534

Other identifiers 1

IdentifierTypeStateIssuer
C04486-9OtherNYWC

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn Spine and Joint Chiropractic Physical Therapy Rehab and Acupu2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194240374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102549",
            "telephone_number": "914-261-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102549",
            "telephone_number": "914-261-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN SPINE AND JOINT CHIROPRACTIC, PT REHAB AND ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "914-261-7534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "NYSX24342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC",
            "identifier": "C04486-9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.