Organization Active NPI

Mt Chiropractic, P.C.

  • Chiropractor
  • Medford, NY
National Provider Identifier
1366787665
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MT CHIROPRACTIC, P.C.
Practice address
570 Expressway Dr S
2C
Medford, NY 11763-2049
Phone
(631) 438-0355
Fax
(631) 438-0356
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Mark Tischler, DC
Title
Owner
Phone
(631) 438-0355

Specialties & licenses 1

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

Addresses

Primary practice location

570 Expressway Dr S
2C
Medford, NY 11763-2049

Mailing address

570 Expressway Dr S
2C
Medford, NY 11763-2049
Phone (631) 438-0355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1366787665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 EXPRESSWAY DR S",
            "address_2": "2C",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632049",
            "telephone_number": "631-438-0355",
            "fax_number": "631-438-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EXPRESSWAY DR S",
            "address_2": "2C",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632049",
            "telephone_number": "631-438-0355",
            "fax_number": "631-438-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "TISCHLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-438-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.