Individual provider Active NPI

Marilyn Appelbaum, DC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1285703074
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002925 Issued in NY
Practice address
5911 16TH Ave
Brooklyn, NY 11204-2114
Phone
(718) 234-6200
Fax
(718) 234-6210
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002925 NY Primary

Addresses

Primary practice location

5911 16TH Ave
Brooklyn, NY 11204-2114

Mailing address

5911 16TH Ave
Brooklyn, NY 11204-2114
Phone (718) 234-6200

Other identifiers 2

IdentifierTypeStateIssuer
X16751OtherNYBLUE CROSS, BLUE SHIELD
0082130OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X002925NYMDChiropractor
002925NYMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keller Chiropractic of Crown Heights LLC. Chiropractor Past Accepting new patients
Keller Chiropractic of Williamsburg LLC. Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1285703074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042114",
            "telephone_number": "718-234-6200",
            "fax_number": "718-234-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042114",
            "telephone_number": "718-234-6200",
            "fax_number": "718-234-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPELBAUM",
        "first_name": "MARILYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD",
            "identifier": "X16751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0082130",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.