Organization Active NPI

Chiropractic Rehabilitation, PC

  • Sports Physician Chiropractor
  • Great Neck, NY
National Provider Identifier
1467650606
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X009022 Issued in NY
Legal business name
CHIROPRACTIC REHABILITATION, PC
Practice address
8 Bond St Ste 201
Great Neck, NY 11021-2418
Phone
(516) 466-4900
Fax
(516) 466-4901
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Seth Gartenlaub, D.C.NPI 1841385655
Title
Owner
Phone
(516) 466-4900

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X X009022 NY Primary

Addresses

Primary practice location

8 Bond St Ste 201
Great Neck, NY 11021-2418

Mailing address

8 Bond St Ste 201
Great Neck, NY 11021-2418
Phone (516) 466-4900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080527000044 NY Part B Supplier - Clinic/Group Practice 3870678113 Receives reassigned benefits from 10 practitioners
Practice locations: Brooklyn, NY; Whitestone, NY; Staten Island, NY; Great Neck, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1467650606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BOND ST STE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212418",
            "telephone_number": "516-466-4900",
            "fax_number": "516-466-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BOND ST STE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212418",
            "telephone_number": "516-466-4900",
            "fax_number": "516-466-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "GARTENLAUB",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-466-4900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X009022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.