Organization Active NPI

Hprdc Chiropractic PLLC

Doing business as Power On Wellness Center

  • Nutrition Chiropractor
  • South Setauket, NY
National Provider Identifier
1659648772
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
X005445-1 Issued in NY
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

Updated by the provider on Jul 29, 2016

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)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.