Individual provider Active NPI

Isis Carolina Sofia Perez Morales

  • Chiropractor
  • New York, NY
National Provider Identifier
1275302820
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013792-01 Issued in NY
Practice address
42 Broadway Ste 1535
New York, NY 10004-3885
Phone
(917) 525-4975
NPI assigned
Dec 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013792-01 NY Primary

Addresses

Primary practice location

42 Broadway Ste 1535
New York, NY 10004-3885

Mailing address

2258 Fulton St Apt 710
Brooklyn, NY 11233-7311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515001318 NY Practitioner - Chiropractic 7012358591 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013792-01NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Wellness Medical PC Chiropractor CurrentSince Sep 18, 2025 Accepting new patients
Priestley Chiropractic, P.C. Chiropractor CurrentSince May 7, 2024 Accepting new patients
Brian Mayrsohn MD PLLC PastSince Sep 18, 2025 Accepting new patients
New York Neurology and Medical Services P.C PastSince Dec 31, 2023 Accepting new patients

Locations

81 Conklin St
Farmingdale, NY 11735
Phone (516) 713-4662

551 Madison Ave
Ste 1201
New York, NY 10022
Phone (212) 737-0000

Organizations & group practices 4

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": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1275302820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 FULTON ST APT 710",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112337311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY STE 1535",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043885",
            "telephone_number": "917-525-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MORALES",
        "first_name": "ISIS",
        "middle_name": "CAROLINA SOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013792-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.