Active NPI
Cesar Oballe, D.C.
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1477682144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005652
- Practice address
- 321 Pennsylvania Ave
2ND Floor
Brooklyn, NY 11207-4101 - Phone
- (718) 485-4195
- Fax
- (718) 922-7361
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005652 | NY | Primary |
Addresses
Primary practice location
321 Pennsylvania Ave
2ND Floor
Brooklyn, NY 11207-4101
Mailing address
321 Pennsylvania Ave
2ND Floor
Brooklyn, NY 11207-4101
Phone (718) 485-4195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO5652-5B | Other | NY | WORKER'S COMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005652 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477682144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 PENNSYLVANIA AVE",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112074101",
"telephone_number": "718-485-4195",
"fax_number": "718-922-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 PENNSYLVANIA AVE",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112074101",
"telephone_number": "718-485-4195",
"fax_number": "718-922-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBALLE",
"first_name": "CESAR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "CO5652-5B",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.