NPIMap

Organization Active NPI

Northeast College of Health Sciences

  • Chiropractor
  • Seneca Falls, NY
National Provider Identifier
1487715975
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTHEAST COLLEGE OF HEALTH SCIENCES
Practice address
2360 State Route 89
Seneca Falls, NY 13148-9425
Phone
(315) 568-3166
Fax
(315) 568-3700
NPI assigned
Dec 12, 2006
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Anne E Killen
Title
Executive Vice President
Phone
(315) 568-3226

Specialties & licenses 1

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

Addresses

Primary practice location

2360 State Route 89
Seneca Falls, NY 13148-9425

Mailing address

2360 State Route 89
Seneca Falls, NY 13148-9425
Phone (315) 568-3166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322001265 NY Part B Supplier - Clinic/Group Practice 3779474549 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Depew, NY; Levittown, NY; Seneca Falls, NY
O20260325001155 NY Part B Supplier - Clinic/Group Practice 3779474549 Receives reassigned benefits from 1 practitioner
Practice locations: Depew, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Northeast College of Health Sciences2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4974 Transit Rd
Depew, NY 14043
Phone (716) 625-9066

2360 State Route 89
Seneca Falls, NY 13148
Phone (315) 568-3000

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1487715975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 STATE ROUTE 89",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489425",
            "telephone_number": "315-568-3166",
            "fax_number": "315-568-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STATE ROUTE 89",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489425",
            "telephone_number": "315-568-3166",
            "fax_number": "315-568-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COLLEGE OF HEALTH SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "KILLEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "315-568-3226"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.