Individual provider Active NPI

Robert Allen Rook, DC

  • Chiropractor
  • Port Jefferson Station, NY
National Provider Identifier
1295026136
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008002 Issued in NY
Practice address
1041 Route 112
Port Jefferson Station, NY 11776-6000
Phone
(631) 646-2041
Fax
(631) 249-1793
NPI assigned
Apr 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008002 NY Primary

Addresses

Primary practice location

1041 Route 112
Port Jefferson Station, NY 11776-6000

Mailing address

PO Box 1359
Melville, NY 11747-0308
Phone (631) 646-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612002128 NY Practitioner - Chiropractic 7911418405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008002NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Physical Therapy & Chiropractic, PLLC Chiropractor CurrentSince Jun 5, 2025 Accepting new patients

Locations

1050 Old Nichols Rd
Islandia, NY 11749
Phone (631) 533-4132

1041 Route 112
Port Jefferson Station, NY 11776
Phone (631) 646-2041

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1295026136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117470308",
            "telephone_number": "631-646-2256",
            "fax_number": "631-249-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 ROUTE 112",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117766000",
            "telephone_number": "631-646-2041",
            "fax_number": "631-249-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOK",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.