NPIMap

Organization Active NPI

Priestley Chiropractic, P.C.

  • Chiropractor
  • Farmingdale, NY
National Provider Identifier
1508559097
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRIESTLEY CHIROPRACTIC, P.C.
Practice address
81 Conklin St
Farmingdale, NY 11735-2502
Phone
(516) 752-1007
Fax
(516) 752-2767
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Walter F Priestley, DCNPI 1700885670
Title
Chiropractor/Owner
Phone
(516) 752-1007

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

81 Conklin St
Farmingdale, NY 11735-2502

Mailing address

81 Conklin St
Farmingdale, NY 11735-2502
Phone (516) 752-1007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230630003265 NY Part B Supplier - Clinic/Group Practice 8022477579 Receives reassigned benefits from 7 practitioners
Practice locations: Farmingdale, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1508559097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352502",
            "telephone_number": "516-752-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352502",
            "telephone_number": "516-752-1007",
            "fax_number": "516-752-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIESTLEY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "PRIESTLEY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "516-752-1007",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.