Organization Active NPI

Optimum Care Chiropractic, PC

  • Nutrition Chiropractor
  • Hicksville, NY
National Provider Identifier
1659536670
Registry record updated Jul 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
X010374 Issued in NY
Legal business name
OPTIMUM CARE CHIROPRACTIC, PC
Practice address
31 16TH St
Hicksville, NY 11801-1139
Phone
(516) 850-2050
NPI assigned
Jul 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2008

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

Authorized official

Name
Dr. Neeti Dureja
Title
Chiropractor
Phone
(516) 850-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X X010374 NY Primary

Addresses

Primary practice location

31 16TH St
Hicksville, NY 11801-1139

Mailing address

31 16TH St
Hicksville, NY 11801-1139

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216512000000",
    "number": "1659536670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 16TH ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 16TH ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011139",
            "telephone_number": "516-850-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CARE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-20",
        "last_updated": "2008-07-20",
        "status": "A",
        "authorized_official_last_name": "DUREJA",
        "authorized_official_first_name": "NEETI",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "516-850-2050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X010374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2008; 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.