Active NPI
Sally Brooke-Smith, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1275612434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005835
- Practice address
- 352 7TH Ave
Suite 205
New York, NY 10001-5012 - Phone
- (212) 727-9799
- Fax
- (212) 239-3567
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005835 | NY | Primary |
Addresses
Primary practice location
352 7TH Ave
Suite 205
New York, NY 10001-5012
Mailing address
352 7TH Ave
Suite 205
New York, NY 10001-5012
Phone (212) 727-9799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204000239 | NY | Practitioner - Chiropractic | 0749185650 | Practice locations: New Hyde Park, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Hollow LN
Suite 300
New Hyde Park, NY 11042-1215
Phone (516) 280-3522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005835 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy E. Brand, DC PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275612434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 7TH AVE",
"address_2": "SUITE 205",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015012",
"telephone_number": "212-727-9799",
"fax_number": "212-239-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 7TH AVE",
"address_2": "SUITE 205",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015012",
"telephone_number": "212-727-9799",
"fax_number": "212-239-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKE-SMITH",
"first_name": "SALLY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Bronx United Ipa
- Brielle Brook, LMSW
- Daniel L. Brook, M.D.
- Michael C Brook, PH.D.
- Randi Sue Brook, MS, RD, CDE, CDN
- Nathan Ari Brookhim
- Kenneth Haskell Brookler, MD
- Brooklyn Chiropractic Spine & Sports Injury PC
- Brooklyn Family Medicine Practice PC
- Brooklyn Heights Internal Medicine PLLC (Mewa Medical PLLC)
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.