NPIMap

Organization Active NPI

Life Chiropractic

  • Specialist
  • Ridgewood, NY
National Provider Identifier
1609939230
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
X006583-1 Issued in NY
Legal business name
LIFE CHIROPRACTIC
Practice address
714 Seneca Ave
Ridgewood, NY 11385-2895
Phone
(718) 366-4546
NPI assigned
Dec 18, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Gary CohenNPI 1063575884
Title
Sole Proprietor
Phone
(718) 366-4546

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
Specialist 174400000X X006583-1 NY Primary

Addresses

Primary practice location

714 Seneca Ave
Ridgewood, NY 11385-2895

Mailing address

134 Rita Dr
Cortlandt Manor, NY 10567-2606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1609939230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 RITA DR",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105672606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852895",
            "telephone_number": "718-366-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-366-4546"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "X006583-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.