NPIMap

Organization Active NPI

Long Island Chiropractic, Health & Wellness, P.C.

Doing business as Smithtown Wellness

  • Chiropractor
  • Smithtown, NY
National Provider Identifier
1295866358
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009316 Issued in NY
Legal business name
LONG ISLAND CHIROPRACTIC, HEALTH & WELLNESS, P.C.
Doing business as
Smithtown Wellness
Practice address
285 Middle Country Rd
Suite 204
Smithtown, NY 11787-2978
Phone
(631) 361-9355
NPI assigned
Mar 8, 2007
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. Scott Brunengraber, D.C.NPI 1144384850
Title
Sole Owner
Phone
(631) 361-9355

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009316 NY Primary

Addresses

Primary practice location

285 Middle Country Rd
Suite 204
Smithtown, NY 11787-2978

Mailing address

285 Middle Country Rd
Suite 204
Smithtown, NY 11787-2978

Other names 1

  • Smithtown Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1295866358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MIDDLE COUNTRY RD",
            "address_2": "SUITE 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MIDDLE COUNTRY RD",
            "address_2": "SUITE 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872978",
            "telephone_number": "631-361-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CHIROPRACTIC, HEALTH & WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "BRUNENGRABER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "631-361-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithtown Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.