Organization Active NPI

Main Chiropractic Rehabilitation & NP-Family Health of Westchester PL

  • Family Nurse Practitioner
  • New Rochelle, NY
National Provider Identifier
1457050585
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MAIN CHIROPRACTIC REHABILITATION & NP-FAMILY HEALTH OF WESTCHESTER PL
Practice address
634 Main St
New Rochelle, NY 10801-7084
Phone
(914) 654-1100
Fax
(914) 654-9715
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Dr. Samer Mazahreh, DNP, FNP-C, DC
Title
Owner/Partner
Phone
(914) 654-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

634 Main St
New Rochelle, NY 10801-7084

Mailing address

634 Main St
New Rochelle, NY 10801-7084
Phone (914) 654-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1457050585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017084",
            "telephone_number": "914-654-1100",
            "fax_number": "914-654-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017084",
            "telephone_number": "914-654-1100",
            "fax_number": "914-654-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN CHIROPRACTIC REHABILITATION & NP-FAMILY HEALTH OF WESTCHESTER PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "MAZAHREH",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "914-654-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.