Organization Active NPI

Park Avenue Chiropractic

  • Chiropractor
  • Bethpage, NY
National Provider Identifier
1326247362
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006738 Issued in NY
Legal business name
PARK AVENUE CHIROPRACTIC
Practice address
195 Park Ave
Bethpage, NY 11714-4428
Phone
(516) 433-4114
Fax
(516) 938-3820
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Scott Berg, D.C.NPI 1912122375
Title
President
Phone
(516) 433-4114

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 X006738 NY Primary

Addresses

Primary practice location

195 Park Ave
Bethpage, NY 11714-4428

Mailing address

195 Park Ave
Bethpage, NY 11714-4428
Phone (516) 433-4114

National Provider Directory

National Provider Directory

Locations

195 Park Ave
Bethpage, NY 11714
Phone (516) 433-4114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1326247362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 PARK AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144428",
            "telephone_number": "516-433-4114",
            "fax_number": "516-938-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 PARK AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144428",
            "telephone_number": "516-433-4114",
            "fax_number": "516-938-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-433-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.