Scott Michael Andersen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010039 Issued in NY

Practice address

928 Broadway
Ste 1200
New York, NY 10010-8106

Phone

(516) 359-2143

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Park Physical Medicine and Rehabilitation P.C.

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1396813184

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1285752402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY",
            "address_2": "STE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108106",
            "telephone_number": "516-359-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY",
            "address_2": "STE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108106",
            "telephone_number": "516-359-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Andersen, MD
• James Joseph Andersen II, MD
• Kira Andersen, LCSW
• Micayla Paige Andersen
• Ryan Andersen
• Shannon M Andersen, BSN, FNP-BC, AOCNP
• Susan M. Andersen, PH.D.
• Anderson Peak Performance Inc.
• Anderson Psychotherapy LCSW PLLC
• Latasha Anderson-Dunkley, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.