Active NPI
Craig Selzer, D.C.
- Chiropractor
- Bay Shore, NY
National Provider Identifier
1386795615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007836
- Practice address
- 36 East Main Street
Bay Shore, NY 11706 - Phone
- (631) 665-3714
- Fax
- (631) 665-3749
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007836 | NY | Primary |
Addresses
Primary practice location
36 East Main Street
Bay Shore, NY 11706
Mailing address
36 East Main Street
Bay Shore, NY 11706
Phone (631) 665-3714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007836 | NY | MD | Chiropractor |
| 007836 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Island Chiropractic & Physical Therapy Care, PLLC | Chiropractor | Current | Accepting new patients |
| All Island Chiropractic & Physical Therapy, PLLC | Chiropractor | Past | Accepting new patients |
Locations
36 E Main St
Bay Shore, NY 11706
Phone (631) 662-3714
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bay Shore, NY
- NPI 1922444124
-
- Chiropractor
- Bay Shore, NY
- NPI 1881759843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1386795615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 EAST MAIN STREET",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-665-3714",
"fax_number": "631-665-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 EAST MAIN STREET",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-665-3714",
"fax_number": "631-665-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELZER",
"first_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.