Organization Active NPI

Oasis Chiropractic and Wellness PLLC

  • Chiropractor
  • New York, NY
National Provider Identifier
1619133246
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0114431 Issued in NY
Legal business name
OASIS CHIROPRACTIC AND WELLNESS PLLC
Practice address
1841 Broadway
Suite 714
New York, NY 10023-7603
Phone
(917) 572-0358
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Deborah Hilderley
Title
Billing Representative
Phone
(352) 683-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0114431 NY Primary

Addresses

Primary practice location

1841 Broadway
Suite 714
New York, NY 10023-7603

Mailing address

1841 Broadway
Suite 714
New York, NY 10023-7603
Phone (917) 572-0358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000163 NY Part B Supplier - Clinic/Group Practice 8921158817 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

330 W 58th St
Apt 501
New York, NY 10019
Phone (212) 265-9803

1841 Broadway
Rm 714
New York, NY 10023
Phone (212) 582-1122

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1619133246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 BROADWAY",
            "address_2": "SUITE 714",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237603",
            "telephone_number": "917-572-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BROADWAY",
            "address_2": "SUITE 714",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237603",
            "telephone_number": "917-572-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "HILDERLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "352-683-3855"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "CH0114431",
            "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 Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.