Organization Active NPI

Balance Chiropractic & Wellness, P.C.

  • Chiropractor
  • Huntington, NY
National Provider Identifier
1487811691
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010971 Issued in NY
Legal business name
BALANCE CHIROPRACTIC & WELLNESS, P.C.
Practice address
198 New York Ave
#1
Huntington, NY 11743-2746
Phone
(631) 470-9670
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Dr. Paul Beberman, DCNPI 1437108248
Title
Chiropractor/Owner
Phone
(631) 470-9670

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X010971 NY Primary

Addresses

Primary practice location

198 New York Ave
#1
Huntington, NY 11743-2746

Mailing address

198 New York Ave
#1
Huntington, NY 11743-2746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000353 NY Part B Supplier - Clinic/Group Practice 8527134485 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1487811691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NEW YORK AVE",
            "address_2": "#1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NEW YORK AVE",
            "address_2": "#1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432746",
            "telephone_number": "631-470-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE CHIROPRACTIC & WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "BEBERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "631-470-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.