Organization Active NPI

S a Healthy Body Chiropractic

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1205094067
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008514 Issued in NY
Legal business name
S A HEALTHY BODY CHIROPRACTIC
Practice address
271 Kelly Blvd
Staten Island, NY 10314-6008
Phone
(718) 698-5600
Fax
(718) 698-5668
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mr. Steven W Albert Jr., DCNPI 1508941766
Title
President Chiropractor
Phone
(718) 698-5600

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 X008514 NY Primary

Addresses

Primary practice location

271 Kelly Blvd
Staten Island, NY 10314-6008

Mailing address

271 Kelly Blvd
Staten Island, NY 10314-6008
Phone (718) 698-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080505000194 NY Part B Supplier - Clinic/Group Practice 1456335496 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1205094067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 KELLY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146008",
            "telephone_number": "718-698-5600",
            "fax_number": "718-698-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 KELLY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146008",
            "telephone_number": "718-698-5600",
            "fax_number": "718-698-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S A HEALTHY BODY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT CHIROPRACTOR",
        "authorized_official_telephone_number": "718-698-5600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.