Island Active Release and Sports Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009584-1 Issued in NY

Legal business name

ISLAND ACTIVE RELEASE AND SPORTS CHIROPRACTIC

Practice address

91 Foster Rd
Staten Island, NY 10309-3014

Phone

(917) 755-7088

Fax

(973) 777-6963

NPI assigned

Jul 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Dale Toss, DCNPI 1336320274

Title

Owner

Phone

(917) 755-7088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Dale Toss, DC

  • Chiropractor
  • Clifton, NJ
  • NPI 1336320274

  NY

  Medicare reassignment NPD Authorized official
• Michael Andrew Minardo, D.C.

  • Sports Physician Chiropractor
  • New York, NY
  • NPI 1124126818
  NPD (past)
• Justin L Bergin, DC

  • Chiropractor
  • Manalapan, NJ
  • NPI 1871622431
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1497984322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CORTELYOU AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122104",
            "telephone_number": "917-755-7088",
            "fax_number": "973-777-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 FOSTER RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093014",
            "telephone_number": "917-755-7088",
            "fax_number": "973-777-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ACTIVE RELEASE AND SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "TOSS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-755-7088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009584-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasmatul Islam, M.D.
• Mahee Islam, MD
• MD Zahirul Islam, D.O.
• Bleona Islami
• Zulfiya Islamova
• Island Cardiovascular Surgery, PC
• Island Cardiovascular, PC
• Island Care PT P.C.
• Island Electrocardiographic Services, PC
• Island Eye Optical Corp.

• Chiropractor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.