Individual provider Active NPI

Michelle Pfeffer, D.C.

  • Neurology Chiropractor
  • Levittown, NY
National Provider Identifier
1467548354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
X007602 Issued in NY
Practice address
150 Gardiners Ave
Levittown, NY 11756-3707
Phone
(516) 520-7200
Fax
(516) 520-5026
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X X007602 NY Primary

Addresses

Primary practice location

150 Gardiners Ave
Levittown, NY 11756-3707

Mailing address

PO Box 37
Garden City, NY 11530-0037
Phone (516) 520-7200

Other identifiers 6

IdentifierTypeStateIssuer
324325OtherNYACN
4578840001OtherNYNATIONAL HERITAGE INSURAN
P2198024OtherNYOXFORD
113570494OtherNYTAX ID#
2591469OtherNYCIGNA
3367589OtherNYAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329000670 NY Practitioner - Chiropractic 5496647950 Practice locations: Levittown, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

650 Wantagh Ave
Suite 2
Levittown, NY 11756-5390
Phone (516) 520-5026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007602NYMDMental Health Counselor
X007602NYMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Pfeffer CurrentSince Nov 2, 2000 Accepting new patients
Axis DME Inc CurrentSince May 1, 2023 Accepting new patients
Kelian Family Chiropractic PC PastSince Sep 13, 2007 Accepting new patients

Locations

150 Gardiners Ave
Levittown, NY 11756
Phone (516) 520-5026

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467548354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115300037",
            "telephone_number": "516-520-7200",
            "fax_number": "516-520-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GARDINERS AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563707",
            "telephone_number": "516-520-7200",
            "fax_number": "516-520-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEFFER",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X007602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "324325",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL HERITAGE INSURAN",
            "identifier": "4578840001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2198024",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "113570494",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2591469",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3367589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.