Susan Shala, DC
Individual provider Active NPI Chiropractor · Shrub Oak, NY
NPI 1508713702 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1508713702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X014003-01 (NY)
- Practice address
- 3671 Old Yorktown Rd
Shrub Oak, NY 10588-1503 - Phone
- (914) 962-1234
- Fax
- (914) 962-1312
- NPI assigned
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X014003-01 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berardis Family Chiropractic, PC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X014003-01 | NY | Yes |
Addresses
Primary practice location
3671 Old Yorktown Rd
Shrub Oak, NY 10588-1503
Mailing address
3671 Old Yorktown Rd
Shrub Oak, NY 10588-1503
Phone (914) 962-1234
Other providers in Shrub Oak, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.