Stephen Pruden DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X004234-1 Issued in NY

Legal business name

STEPHEN PRUDEN DC LLC

Practice address

55 Bryant Ave
2ND Floor
Roslyn, NY 11576-1137

Phone

(516) 626-3965

Fax

(516) 625-7701

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Joseph Pruden, DCNPI 1144236019

Title

Chiropractor

Phone

(516) 626-3965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Joseph Pruden, DC

  • Chiropractor
  • Roslyn, NY
  • NPI 1144236019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1215032719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE",
            "address_2": "2ND FLOOR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761137",
            "telephone_number": "516-626-3965",
            "fax_number": "516-625-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE",
            "address_2": "2ND FLOOR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761137",
            "telephone_number": "516-626-3965",
            "fax_number": "516-625-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PRUDEN DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "PRUDEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "516-626-3965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004234-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Staphos, P.A.
• Katie Staphos, R.P.A.-C
• Michael Stauder, PA
• Danielle Lauren Stearn, CCC-SLP
• Gale Steinman
• Beth Stern
• Joshua D Stern, M.D.
• Sheryl B Stern, M.A.
• Katherine Wilkes Stevko, NURSE PRACTITIONER
• Leah Bernice Stork-Binyamin, M.D.

• Chiropractor in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.