Individual provider Active NPI

Adam J Kritzberg, DC

  • Chiropractor
  • Oceanside, NY
National Provider Identifier
1649309055
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
XO11877-1 Issued in NY
Practice address
255 Merrick Road
Oceanside, NY 11572-2044
Phone
(516) 763-1300
Fax
(516) 763-1313
NPI assigned
Mar 2, 2007
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009778 PA
Chiropractor 111N00000X XO11877-1 NY Primary
Occupational Health Chiropractor 111NX0100X AJ009584 PA

Addresses

Primary practice location

255 Merrick Road
Oceanside, NY 11572-2044

Mailing address

255 Merrick Road
Oceanside, NY 11572-2044
Phone (516) 763-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000004 NY Practitioner - Chiropractic 7315092855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 Merrick Rd
Oceanside, NY 11572-1430
Phone (516) 763-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XO11877-1NYMDChiropractor
DC009778PAMDChiropractor
AJ009584PAMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Chiropractic Rehabilitation PC Chiropractor CurrentSince Apr 15, 2013 Accepting new patients

Locations

225 Merrick Rd
Oceanside, NY 11572
Phone (516) 660-4942

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1649309055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MERRICK ROAD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722044",
            "telephone_number": "516-763-1300",
            "fax_number": "516-763-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MERRICK ROAD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722044",
            "telephone_number": "516-763-1300",
            "fax_number": "516-763-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITZBERG",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009778",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XO11877-1",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "PA",
            "license": "AJ009584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.