Bayshore Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009043 Issued in NY

Legal business name

BAYSHORE CHIROPRACTIC PC

Practice address

1590 Union Blvd
Bay Shore, NY 11706-7358

Phone

(631) 665-2421

NPI assigned

Aug 12, 2010

Last updated

Aug 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Super, DC

Title

President

Phone

(516) 307-1345

Specialties & licenses 1

Addresses

Tax ID family

Bayshore Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bayshore Chiropractic, P.C.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1023335619
  NPD tax ID

Locations

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1255646360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 STEWART AVE",
            "address_2": "SUITE 750",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304787",
            "telephone_number": "516-307-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067358",
            "telephone_number": "631-665-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SUPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-307-1345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Shore OB GYN Group PC
• Bay Shore Physical Medicine &Rehabilitation
• Bay Shore Physical Therapy
• Bay Shore Ufsd
• Bay Shore Union Free School District
• Bayshore Eyecare LLC (Sterling Optical)
• Bayshore Home Healthcare, Inc .
• Bayshore Home Healthcare, Inc .
• Bayshore Medical Care, P.C.
• Bayshore Vision Center,Inc.

• Chiropractor in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.