NPIMap

Organization Active NPI

Brooklyn Spine and Joint Chiropractic Physical Therapy Rehab and Acupu

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1336635671
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X4486 Issued in NY
Legal business name
BROOKLYN SPINE AND JOINT CHIROPRACTIC PHYSICAL THERAPY REHAB AND ACUPU
Practice address
2019 Nostrand Avenue
Brooklyn, NY 11210
Phone
(347) 533-6180
Fax
(347) 533-6177
NPI assigned
Jul 10, 2018
Last updated
Jul 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Dr. Robert C. Reiss, DC
Title
Administrator
Phone
(347) 533-6180

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X4486 NY Primary
Chiropractor 111N00000X X4638 NY
Acupuncturist 171100000X 001575 NY
Physical Therapist 225100000X 032642 NY

Addresses

Primary practice location

2019 Nostrand Avenue
Brooklyn, NY 11210

Mailing address

2019 Nostrand Avenue
Brooklyn, NY 11210
Phone (347) 533-6180

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn Spine and Joint Chiropractic Physical Therapy Rehab and Acupu2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2019 Nostrand Ave
Brooklyn, NY 11210
Phone (347) 533-6180

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1336635671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 NOSTRAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "347-533-6180",
            "fax_number": "347-533-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 NOSTRAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "347-533-6180",
            "fax_number": "347-533-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN SPINE AND JOINT CHIROPRACTIC PHYSICAL THERAPY REHAB AND ACUPU",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-533-6180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X4486",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X4638",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001575",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.