Sacks Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X004997 Issued in NY

Legal business name

SACKS CHIROPRACTIC, PC

Practice address

3771 Nesconset Hwy
Ste. 210
Centereach, NY 11720-1154

Phone

(631) 751-7701

Fax

(631) 751-7701

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Allen Sacks, DC

Title

President

Phone

(631) 751-7701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1548327265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORNELIA LN",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552507",
            "telephone_number": "631-585-4125",
            "fax_number": "631-751-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "STE. 210",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117201154",
            "telephone_number": "631-751-7701",
            "fax_number": "631-751-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACKS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-751-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Taylor Rucks
• Desiree Rudbart, RN
• George Rulli, DC
• Dayna Russo
• Kyung D. Ryu, M.S., L.AC.
• Ronald Allen Sacks, DC
• Alexa Sadowsky, LMFT
• Kerry Saladino, PT
• Farhana Salek
• Rita R Salgado

• Chiropractor in Centereach, NY
• Providers in Centereach, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.