Premium Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X08707 Issued in NY

Legal business name

PREMIUM CHIROPRACTIC

Practice address

325 N Broadway
Jericho, NY 11753-2015

Phone

(516) 433-8720

Fax

(516) 433-8723

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Thomas Tini, DC

Title

Associate

Phone

(516) 433-8720

Specialties & licenses 1

Addresses

Tax ID family

Premium Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premium Chiropractic

  • Chiropractor
  • Garden City, NY
  • NPI 1487897450
  NPD tax ID

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1629419304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532015",
            "telephone_number": "516-433-8720",
            "fax_number": "516-433-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532015",
            "telephone_number": "516-433-8720",
            "fax_number": "516-433-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "TINI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "516-433-8720",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X08707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Schoen Pollak, MSSLPTSHH
• Franki Pomatico, LMSW
• Christiana Marie Ponce, RN
• Jamie Marie Postal, PHD
• Preferred Medical, P.C.
• Professional Physical Therapy & Rehabilitation PC
• Pina Pugliese, PHARMACIST
• Quality Pathology Service, PC
• Rabia Yilan DDS P.C.
• Sabila Rana, AUD

• Chiropractor in Jericho, NY
• Providers in Jericho, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.