Stonybrook Regional Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008316-1 Issued in NY

Legal business name

STONYBROOK REGIONAL CHIROPRACTIC PC

Practice address

2500 Nesconset Hwy
Building 20a
Stony Brook, NY 11790-2555

Phone

(631) 675-9700

NPI assigned

May 15, 2013

Last updated

May 15, 2013By 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. David Tubens

Title

Owner

Phone

(631) 629-4646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1275979387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17R WALT WHITMAN ROAD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 20A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-675-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONYBROOK REGIONAL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "TUBENS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-629-4646",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008316-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stony Brook University Hospital
• Stony Brook University Hospital
• Stony Brook University Medical Center
• Stony Brook University Medical Center
• Stony Brook Volunteer Ambulance Corps Inc
• Stonybrook Surigcal Assoicates
• Stonybrook University Hospital
• Stonybrook University Medical Center
• Stonybrook University Student Health Service
• Samantha Tina Stordeur

• Chiropractor in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.