Organization Active NPI

Premium Chiropractic Corp

  • Chiropractor
  • Garden City, NY
National Provider Identifier
1629219381
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PREMIUM CHIROPRACTIC CORP
Practice address
901 Stewart Ave
Suite 285D
Garden City, NY 11530-4893
Phone
(516) 742-8885
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Craig Yellin
Title
Billing Manager
Phone
(516) 742-8884

Specialties & licenses 1

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

Addresses

Primary practice location

901 Stewart Ave
Suite 285D
Garden City, NY 11530-4893

Mailing address

901 Stewart Ave
Suite 285D
Garden City, NY 11530-4893

National Provider Directory

National Provider Directory

Locations

901 Stewart Ave
Ste 285D
Garden City, NY 11530
Phone (516) 742-8885

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1629219381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 285D",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 285D",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-742-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "YELLIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-742-8884"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.