Active NPI
Great South Bay Chiropractic Office
Doing business as Andrew S Farrago
- Chiropractor
- Patchogue, NY
National Provider Identifier
1235817313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- GREAT SOUTH BAY CHIROPRACTIC OFFICE
- Doing business as
- Andrew S Farrago
- Practice address
- 105 Medford Ave
Patchogue, NY 11772-1223 - Phone
- (631) 289-6767
- Fax
- (631) 289-6790
- NPI assigned
- Jul 7, 2023
- Organization subpart
- Yes
- Parent organization
- ANDREW S FARRAGO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Scott Farrago, DC
- Title
- Owner
- Phone
- (631) 289-6767
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
105 Medford Ave
Patchogue, NY 11772-1223
Mailing address
105 Medford Ave
Patchogue, NY 11772-1223
Phone (631) 289-6767
Other names 1
- Andrew S Farrago
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Great So Bay Chiropract
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Patchogue, NY
- NPI 1639258825
-
- Chiropractor
- Patchogue, NY
- NPI 1750474946
-
- Surgery Physician
- East Patchogue, NY
- NPI 1861659823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1235817313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MEDFORD AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721223",
"telephone_number": "631-289-6767",
"fax_number": "631-289-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MEDFORD AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721223",
"telephone_number": "631-289-6767",
"fax_number": "631-289-6790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT SOUTH BAY CHIROPRACTIC OFFICE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANDREW S FARRAGO",
"enumeration_date": "2023-07-07",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "FARRAGO",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-289-6767",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Andrew S Farrago",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Andrew S Farrago",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.