Organization Active NPI

Brewster Chiropractic PLLC

  • Chiropractor
  • Hyde Park, NY
National Provider Identifier
1316310741
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012027-1 Issued in NY
Legal business name
BREWSTER CHIROPRACTIC PLLC
Practice address
4311 Albany Post Rd
Hyde Park, NY 12538-3601
Phone
(845) 229-8868
Fax
(845) 229-1276
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Dr. Owen Alois Brewster, D.C.NPI 1982924395
Title
Owner/Chiropractor
Phone
(845) 229-8868

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
Chiropractor 111N00000X X012027-1 NY Primary

Addresses

Primary practice location

4311 Albany Post Rd
Hyde Park, NY 12538-3601

Mailing address

4311 Albany Post Rd
Hyde Park, NY 12538-3601
Phone (845) 229-8868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151208001468 NY Part B Supplier - Clinic/Group Practice 9830499201 Receives reassigned benefits from 2 practitioners
Practice locations: Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

4311 Albany Post Rd
Hyde Park, NY 12538
Phone (845) 229-8868

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": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1316310741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125383601",
            "telephone_number": "845-229-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125383601",
            "telephone_number": "845-229-8868",
            "fax_number": "845-229-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWSTER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "ALOIS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "845-229-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012027-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.