Advance Chiropractic P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008833 Issued in NY

Legal business name

ADVANCE CHIROPRACTIC P C

Practice address

221 S Middletown Rd
Nanuet, NY 10954-3325

Phone

(845) 623-0026

Fax

(845) 623-0096

NPI assigned

Sep 4, 2009

Organization subpart

No

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

Authorized official

Name

William Ronald Johnson, D.C.NPI 1184651341

Title

Owner

Phone

(845) 623-0026

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William R Johnson, DC

  • Chiropractor
  • Nanuet, NY
  • NPI 1184651341

  NY

  Medicare reassignment Authorized official
• Yung Jun Cho, L.AC.

  • Acupuncturist
  • Nanuet, NY
  • NPI 1659775773
  NPD (past)

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1407089634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543325",
            "telephone_number": "845-623-0026",
            "fax_number": "845-623-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543325",
            "telephone_number": "845-623-0026",
            "fax_number": "845-623-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-623-0026",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1184651341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lilly E Addison, LPN
• Lilian Adoyo, LPN
• Frederick Adu Twun
• Advanced Audiology of Ny II PC
• Advanced Orthopedics & Sports Medicine, PLLC
• Advanced Physical Therapy of Rockland, PLLC
• Advanced Physical Therapy of Rockland, PLLC
• Advanced Therapeutic Concepts

• All providers in Nanuet, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.

Verify at the official NPI Registry.