Organization Active NPI

Atlantic Chiropractic of Shirley P.C.

  • Chiropractor
  • Shirley, NY
National Provider Identifier
1306927652
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006269 Issued in NY
Legal business name
ATLANTIC CHIROPRACTIC OF SHIRLEY P.C.
Practice address
409 WM. Floyd Parkway
Shirley, NY 11967-3434
Phone
(631) 395-7424
Fax
(631) 395-7420
NPI assigned
Oct 17, 2006
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. David I Gozinsky, DCNPI 1982636494
Title
President
Phone
(631) 395-7424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X006269 NY Primary

Addresses

Primary practice location

409 WM. Floyd Parkway
Shirley, NY 11967-3434

Mailing address

409 WM. Floyd Parkway
Shirley, NY 11967-3434
Phone (631) 395-7424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000034 NY Part B Supplier - Clinic/Group Practice 9335298876 Receives reassigned benefits from 1 practitioner
Practice locations: Shirley, NY

National Provider Directory

National Provider Directory

Locations

409 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 395-7424

Practitioners & affiliated clinicians

Practitioners 2

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1306927652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WM. FLOYD PARKWAY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673434",
            "telephone_number": "631-395-7424",
            "fax_number": "631-395-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WM. FLOYD PARKWAY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673434",
            "telephone_number": "631-395-7424",
            "fax_number": "631-395-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CHIROPRACTIC OF SHIRLEY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GOZINSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-395-7424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.