NPIMap

Organization Active NPI

Suffolk Family Chiropractic, P.C.

Doing business as Back to Life Chiropractic Services

  • Orthopedic Chiropractor
  • Woodside, NY
National Provider Identifier
1407978489
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
C-007735-6B Issued in NY
Legal business name
SUFFOLK FAMILY CHIROPRACTIC, P.C.
Doing business as
Back to Life Chiropractic Services
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
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. John Fernandez, D.C.NPI 1083734032
Title
President
Phone
(718) 424-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0013X C-007735-6B NY
Neurology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN0400X C-007735-6B NY
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X C-007735-6B NY
Orthopedic ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.