Individual provider Active NPI

Sally Brooke-Smith, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1275612434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005835 Issued in NY
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
Sex
Female
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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
X005835NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy E. Brand, DC PC PastSince Jul 1, 2001 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 and National Provider Directory roles.

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

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.