Individual provider Active NPI

Edward John Gorecki, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1437300670
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010272 Issued in NY
Practice address
853 Broadway Ste 1601
New York, NY 10003-4714
Phone
(212) 777-3301
NPI assigned
Oct 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010272 NY Primary
Chiropractor 111N00000X 010272 NY

Addresses

Primary practice location

853 Broadway Ste 1601
New York, NY 10003-4714

Mailing address

853 Broadway Ste 1601
New York, NY 10003-4714
Phone (212) 777-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000312 NY Practitioner - Chiropractic 0648331751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37 W 20TH St
Suite 607
New York, NY 10011-3718
Phone (212) 777-3301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010272NYMDChiropractor
X010272NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Edward J. Gorecki, DC, PLLC Chiropractor CurrentSince Jun 1, 2009 Accepting new patients
5 Point Physical Therapy PLLC PastSince Jan 21, 2020 Accepting new patients
Giulio Mazzarelli Chiropractic Chiropractor PastSince Jan 1, 2004 Accepting new patients

Locations

37 W 20th St
Ste 607
New York, NY 10011
Phone (212) 226-2066

853 Broadway
Ste 1601
New York, NY 10003
Phone (212) 777-3301

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1437300670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 BROADWAY STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034714",
            "telephone_number": "212-777-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BROADWAY STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034714",
            "telephone_number": "212-777-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORECKI",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010272",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010272",
            "primary": false
        }
    ],
    "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 Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.