Organization Active NPI

Sayville Chiropractic PC

  • Rehabilitation Chiropractor
  • Sayville, NY
National Provider Identifier
1275618761
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
X005177 Issued in NY
Legal business name
SAYVILLE CHIROPRACTIC PC
Practice address
4844 Sunrise Hwy
Sayville, NY 11782-1011
Phone
(631) 563-1444
Fax
(563) 563-1074
NPI assigned
Oct 25, 2006
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Dr. Frank Manuel Gomez Jr., D.C.NPI 1891804506
Title
President
Phone
(631) 563-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X X005177 NY Primary

Addresses

Primary practice location

4844 Sunrise Hwy
Sayville, NY 11782-1011

Mailing address

4844 Sunrise Hwy
Sayville, NY 11782-1011
Phone (631) 563-1444

National Provider Directory

National Provider Directory

Locations

475 E Main St
Ste 100
Patchogue, NY 11772
Phone (631) 286-8282

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1275618761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 SUNRISE HWY",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821011",
            "telephone_number": "631-563-1444",
            "fax_number": "563-563-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4844 SUNRISE HWY",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821011",
            "telephone_number": "631-563-1444",
            "fax_number": "563-563-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYVILLE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-563-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X005177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.