Individual provider Active NPI

Bernhard John Sengstock II, DC

  • Chiropractor
  • Islip, NY
National Provider Identifier
1225061369
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007893 Issued in NY
Practice address
152 Islip Ave
Suite 23
Islip, NY 11751-3225
Phone
(631) 277-6767
Fax
(631) 277-4311
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

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 X007893 NY Primary

Addresses

Primary practice location

152 Islip Ave
Suite 23
Islip, NY 11751-3225

Mailing address

152 Islip Ave
Suite 23
Islip, NY 11751-3225
Phone (631) 277-6767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000392 NY Practitioner - Chiropractic 1355339102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

152 Islip Ave
Islip, NY 11751-3225
Phone (631) 277-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007893NYMDChiropractor
007893NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bernhard Sengstock, DC, PC CurrentSince Aug 2, 2013 Accepting new patients

Locations

152 Route 111
Ste 23
Islip, NY 11751
Phone (631) 277-0060

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225061369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE",
            "address_2": "SUITE 23",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "631-277-6767",
            "fax_number": "631-277-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE",
            "address_2": "SUITE 23",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "631-277-6767",
            "fax_number": "631-277-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGSTOCK",
        "first_name": "BERNHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, 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.