Broadway Chiropractic Health Management

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007459 Issued in NY

Legal business name

BROADWAY CHIROPRACTIC HEALTH MANAGEMENT

Practice address

333 Broadway Ste 2
Amityville, NY 11701-2719

Phone

(631) 789-1900

NPI assigned

Apr 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Michael Gramse, DC

Title

President/Owner

Phone

(631) 789-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1437578952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROADWAY STE 2",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012719",
            "telephone_number": "631-789-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADWAY STE 2",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012719",
            "telephone_number": "631-789-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CHIROPRACTIC HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "GRAMSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "631-789-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02420208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bimalkumar P Brahmbhatt, M.D.
• Joan Brandenburg, LCSW
• Harsimran Brar, M.D
• Dawn Marie Brennan Tesoro, LMSW
• Broadway Chiropractic Diagnostic and Rehabilitation P.C.
• Kelly Brock
• Edna Bronzino
• Thomas Edward Brouette, MD
• Andrena Vernessa Brown, LPN
• Stacy Maddonna Brown

• Chiropractor in Amityville, NY
• Providers in Amityville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.