Active NPI
Hprdc Chiropractic PLLC
Doing business as Power On Wellness Center
- Nutrition Chiropractor
- South Setauket, NY
National Provider Identifier
1659648772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X005445-1
- Legal business name
- HPRDC CHIROPRACTIC PLLC
- Doing business as
- Power On Wellness Center
- Practice address
- 31 Balin Ave
South Setauket, NY 11720-1123 - Phone
- (631) 580-0040
- Fax
- (631) 928-8340
- NPI assigned
- Nov 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Henri Rosenblum, D.C.
- Title
- Ceo
- Phone
- (631) 580-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X005445-1 | NY | Primary |
Addresses
Primary practice location
31 Balin Ave
South Setauket, NY 11720-1123
Mailing address
31 Balin Ave
South Setauket, NY 11720-1123
Phone (631) 580-0040
Other names 1
- Power On Wellness Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469750400000",
"number": "1659648772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BALIN AVE",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "117201123",
"telephone_number": "631-580-0040",
"fax_number": "631-928-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BALIN AVE",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "117201123",
"telephone_number": "631-580-0040",
"fax_number": "631-928-8340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HPRDC CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-17",
"last_updated": "2016-07-29",
"status": "A",
"authorized_official_last_name": "ROSENBLUM",
"authorized_official_first_name": "HENRI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "631-580-0040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X005445-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Power On Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.