Active NPI
Eugene Z Haller, D.C.
- Chiropractor
- East Hampton, NY
National Provider Identifier
1205984333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X002066-1
- Practice address
- 34 Fieldview LN
East Hampton, NY 11937-2902 - Phone
- (631) 324-1037
- Fax
- (631) 329-8958
- NPI assigned
- Jan 8, 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 | X002066-1 | NY | Primary |
Addresses
Primary practice location
34 Fieldview LN
East Hampton, NY 11937-2902
Mailing address
34 Fieldview LN
East Hampton, NY 11937-2902
Phone (631) 324-1037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X002066-1 | NY | MD | Chiropractor |
| 002066 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Medical Wellness, P.C. | Past | Accepting new patients | |
| Hampton Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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
- East Hampton, NY
- NPI 1619284833
-
- Physical Medicine & Rehabilitation Physician
- East Hampton, NY
- NPI 1942212261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205984333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 FIELDVIEW LN",
"city": "EAST HAMPTON",
"state": "NY",
"postal_code": "119372902",
"telephone_number": "631-324-1037",
"fax_number": "631-329-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 FIELDVIEW LN",
"city": "EAST HAMPTON",
"state": "NY",
"postal_code": "119372902",
"telephone_number": "631-324-1037",
"fax_number": "631-329-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "EUGENE",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X002066-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hampton, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.