Organization Active NPI

Manhattan Advanced Chiropractic Services, PC

  • Chiropractor
  • New York, NY
National Provider Identifier
1508036914
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011246-1 Issued in NY
Legal business name
MANHATTAN ADVANCED CHIROPRACTIC SERVICES, PC
Practice address
160 Broadway
6TH Floor East Building
New York, NY 10038-4201
Phone
(212) 227-3350
Fax
(212) 227-3379
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. C. Edmund Shockey II, DC
Title
President
Phone
(212) 227-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011246-1 NY Primary

Addresses

Primary practice location

160 Broadway
6TH Floor East Building
New York, NY 10038-4201

Mailing address

PO Box 4434
Grand Central Station
New York, NY 10693-4434
Phone (212) 227-3350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1508036914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4434",
            "address_2": "GRAND CENTRAL STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "106934434",
            "telephone_number": "212-227-3350",
            "fax_number": "212-227-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BROADWAY",
            "address_2": "6TH FLOOR EAST BUILDING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384201",
            "telephone_number": "212-227-3350",
            "fax_number": "212-227-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN ADVANCED CHIROPRACTIC SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "SHOCKEY",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-227-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011246-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.