Individual provider Active NPI

Arezou Naderi, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1568130771
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013580 Issued in NY
Practice address
635 Madison Ave FL 4
New York, NY 10022-1009
Phone
(718) 844-3174
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00785400 NJ
Chiropractor 111N00000X 013580 NY Primary

Addresses

Primary practice location

635 Madison Ave FL 4
New York, NY 10022-1009

Mailing address

625 W 57TH St Apt 463
New York, NY 10019-2622
Phone (718) 844-3174

Other practice location 1

625 W 57th St Apt 463
New York, NY 10019-2622
Phone (718) 844-3174

Other practice location 2

60 Christopher Columbus Dr
Jersey City, NJ 07302-2945
Phone (718) 844-3174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC00785400NJMDChiropractor
013580NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Naderi Chiropractic PC Chiropractor CurrentSince Oct 21, 2025 Accepting new patients
Pure Motion - Chiropractic and Wellness LLC Chiropractor Past Accepting new patients

Locations

30 E 60th St
Rm 208
New York, NY 10022
Phone (212) 847-0144

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1568130771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W 57TH ST APT 463",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192622",
            "telephone_number": "718-844-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "718-844-3174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 W 57th St Apt 463",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192622",
            "country_code": "US",
            "telephone_number": "718-844-3174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Christopher Columbus Dr",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073022945",
            "country_code": "US",
            "telephone_number": "718-844-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADERI",
        "first_name": "AREZOU",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00785400",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013580",
            "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 Oct 31, 2022; 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.