Active NPI
Suffolk Family Chiropractic, P.C.
- Orthopedic Chiropractor
- Woodside, NY
National Provider Identifier
1407978489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- C-007735-6B
- Legal business name
- SUFFOLK FAMILY CHIROPRACTIC, P.C.
- Practice address
- 4322 50TH St
Suite 1-B
Woodside, NY 11377-4442 - Phone
- (718) 424-4455
- Fax
- (718) 478-8672
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Fernandez, D.C.
- Title
- President
- Phone
- (718) 424-4455
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | C-007735-6B | NY | |
| Neurology Chiropractor | 111NN0400X | C-007735-6B | NY | |
| Sports Physician Chiropractor | 111NS0005X | C-007735-6B | NY | |
| Orthopedic Chiropractor | 111NX0800X | C-007735-6B | NY | Primary |
Addresses
Primary practice location
4322 50TH St
Suite 1-B
Woodside, NY 11377-4442
Mailing address
4322 50TH St
Suite 1-B
Woodside, NY 11377-4442
Phone (718) 424-4455
Other names 1
- BACK TO LIFE CHIROPRACTIC SERVICES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1407978489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4322 50TH ST",
"address_2": "SUITE 1-B",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774442",
"telephone_number": "718-424-4455",
"fax_number": "718-478-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4322 50TH ST",
"address_2": "SUITE 1-B",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774442",
"telephone_number": "718-424-4455",
"fax_number": "718-478-8672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUFFOLK FAMILY CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-424-4455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "NY",
"license": "C-007735-6B",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "C-007735-6B",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "C-007735-6B",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "NY",
"license": "C-007735-6B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BACK TO LIFE CHIROPRACTIC SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.