Active NPI
James John Brostowin, D.C.
- Sports Physician Chiropractor
- Wantagh, NY
National Provider Identifier
1629177019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- X004582
- Practice address
- 3487 Jerusalem Ave
Wantagh, NY 11793-2000 - Phone
- (516) 221-0900
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | X004582 | NY | Primary |
Addresses
Primary practice location
3487 Jerusalem Ave
Wantagh, NY 11793-2000
Mailing address
14 Pine Edge PL
Dix Hills, NY 11746-8146
Phone (631) 243-2436
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004582 | NY | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert L. Brostowin DC PC | Current | Accepting new patients |
Locations
3487 Jerusalem Ave
Wantagh, NY 11793
Phone (516) 221-0900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Wantagh, NY
- NPI 1538355227
-
- Neurology Chiropractor
- Forest Hills, NY
- NPI 1427264514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629177019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PINE EDGE PL",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117468146",
"telephone_number": "631-243-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3487 JERUSALEM AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932000",
"telephone_number": "516-221-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSTOWIN",
"first_name": "JAMES",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X004582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
- Una Mary Broderick, P.T.
- Bronx Neighborhood NP in Family and Womens Health Care PLLC
- Marjorie Brook, LMT
- Mitchell S Brookstone, DDS
- Brookville Center for Children's Services Inc.
- Robert L Brostowin, DC PC
- Alexandra Brown, LMHC, CASAC
- Susan Marie Browne, MS, CCC-SLP
- Ashley Rose Browning
- Christie Marie Brulhardt, MSED, CASAC-T
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.