Premium Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

010158 Issued in NY

Legal business name

PREMIUM CHIROPRACTIC

Practice address

901 Stewart Ave
Suite 285
Garden City, NY 11530-4893

Phone

(516) 650-8136

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Raymond Omid, DC

Title

Owner

Phone

(516) 650-8136

Specialties & licenses 1

Addresses

Tax ID family

Premium Chiropractic2 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.

• Premium Chiropractic

  • Chiropractor
  • Jericho, NY
  • NPI 1629419304
  NPD tax ID

Locations

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1487897450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 285",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 285",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-650-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "OMID",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-650-8136",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Pradeep
• Amiya Prasad, M.D.,F.A.C.S.,P.C.
• Sudha Manjari Prasad
• Rohit Prashar
• Preferred MRI, PC
• Premium Chiropractic Corp
• Prestige IV Health & Wellness (Vital Infusions)
• Kimberly Presuto, ATC
• Susanna Preuss, LCSW
• Wayne Thomas Prigoff, DDS

• Chiropractor in Garden City, NY
• Providers in Garden City, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.