Individual provider Active NPI

Chad Weinstein, DC

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1568686756
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010827-1 Issued in NY
Practice address
254 Route 17K
Suite 203
Newburgh, NY 12550-8343
Phone
(845) 567-9190
Fax
(845) 567-9197
NPI assigned
Apr 12, 2007
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010827-1 NY Primary

Addresses

Primary practice location

254 Route 17K
Suite 203
Newburgh, NY 12550-8343

Mailing address

254 Route 17K
Suite 203
Newburgh, NY 12550-8343
Phone (845) 567-9190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090716000283 NY Practitioner - Chiropractic 9931251360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

254 Route 17K
Suite 203
Newburgh, NY 12550-8300
Phone (845) 567-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010827NYMDPsychologist
X010827-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Whole Life Chiropractic Chiropractor CurrentSince Jul 21, 2014 Accepting new patients

Locations

254 Route 17K
Ste 203
Newburgh, NY 12550
Phone (845) 567-9190

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1568686756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 ROUTE 17K",
            "address_2": "SUITE 203",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508343",
            "telephone_number": "845-567-9190",
            "fax_number": "845-567-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 ROUTE 17K",
            "address_2": "SUITE 203",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508343",
            "telephone_number": "845-567-9190",
            "fax_number": "845-567-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010827-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.