Organization Active NPI

Nadine O'Neill Chiropractor PC

  • Chiropractor
  • Northport, NY
National Provider Identifier
1447308150
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NADINE O'NEILL CHIROPRACTOR PC
Practice address
120 Woodbine Ave
Northport, NY 11768-2897
Phone
(631) 262-6900
Fax
(631) 262-6900
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Nadine O'Neill, DCNPI 1285657312
Title
Owner
Phone
(631) 262-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NY Primary

Addresses

Primary practice location

120 Woodbine Ave
Northport, NY 11768-2897

Mailing address

120 Woodbine Ave
Northport, NY 11768-2897
Phone (631) 262-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070411000521 NY Part B Supplier - Clinic/Group Practice 5799880217 Receives reassigned benefits from 1 practitioner
Practice locations: Northport, NY

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447308150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WOODBINE AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682897",
            "telephone_number": "631-262-6900",
            "fax_number": "631-262-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WOODBINE AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682897",
            "telephone_number": "631-262-6900",
            "fax_number": "631-262-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADINE O'NEILL CHIROPRACTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-262-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.