Active NPI
Andrew Michael Zomick, DC
- Chiropractor
- New York, NY
National Provider Identifier
1669585667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011097
- Practice address
- 61 Broadway
Suite 900
New York, NY 10006-2701 - Phone
- (212) 248-0077
- Fax
- (212) 747-0939
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 011097 | NY | Primary |
Addresses
Primary practice location
61 Broadway
Suite 900
New York, NY 10006-2701
Mailing address
64 Bradford St
Harrison, NY 10528-2624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011097 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669585667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BRADFORD ST",
"city": "HARRISON",
"state": "NY",
"postal_code": "105282624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 BROADWAY",
"address_2": "SUITE 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062701",
"telephone_number": "212-248-0077",
"fax_number": "212-747-0939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOMICK",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "011097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.