Specialized Chiropractic of Ny

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008136 Issued in NY

Legal business name

SPECIALIZED CHIROPRACTIC OF NY

Practice address

10 Van Sicklen St
Brooklyn, NY 11223-2739

Phone

(347) 499-2100

Fax

(347) 214-7458

NPI assigned

Mar 13, 2013

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Adam Grillo, DOCTOR OF CHIROPRACTNPI 1730240557

Title

President

Phone

(347) 499-2100

Specialties & licenses 1

Addresses

Locations

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.

• Joseph Grillo, D.C.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1730240557
  Authorized official Same address or phone

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1366783573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VAN SICKLEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232739",
            "telephone_number": "347-499-2100",
            "fax_number": "347-214-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VAN SICKLEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232739",
            "telephone_number": "347-499-2100",
            "fax_number": "347-214-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED CHIROPRACTIC OF NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-499-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF CHIROPRACT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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