Active NPI
Robert Drell, DC
- Chiropractor
- Great Neck, NY
National Provider Identifier
1396899548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3729
- Practice address
- 15 Bond Street
Suite 105
Great Neck, NY 11021 - Phone
- (516) 482-4088
- NPI assigned
- Jan 23, 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 | 3729 | NY | Primary |
Addresses
Primary practice location
15 Bond Street
Suite 105
Great Neck, NY 11021
Mailing address
355 Chestnut Drive
Roslyn, NY 11576-2340
Phone (516) 482-4088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111228000357 | NY | Practitioner - Chiropractic | 2466628243 | Practice locations: Manhasset, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003729 | NY | MD | Optometrist |
| 3729 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396899548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 CHESTNUT DRIVE",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762340",
"telephone_number": "516-482-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BOND STREET",
"address_2": "SUITE 105",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-482-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRELL",
"first_name": "ROBERT",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "3729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.