Individual provider Active NPI

Yaacov Altman, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1386991743
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012219 Issued in NY
Practice address
1410 Broadway
Catalyst Sport
New York, NY 10018-5007
Phone
(516) 900-4325
Fax
(631) 760-8321
NPI assigned
Aug 4, 2012
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012219 NY Primary

Addresses

Primary practice location

1410 Broadway
Catalyst Sport
New York, NY 10018-5007

Mailing address

6160 Jericho Tpke
#6
Commack, NY 11725-2802
Phone (516) 900-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1386991743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 JERICHO TPKE",
            "address_2": "#6",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252802",
            "telephone_number": "516-900-4325",
            "fax_number": "631-760-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY",
            "address_2": "CATALYST SPORT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185007",
            "telephone_number": "516-900-4325",
            "fax_number": "631-760-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "YAACOV",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-04",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.