NPIMap

Organization Active NPI

Cooper Chiropractic and Wellness Center PLLC

  • Chiropractor
  • New York, NY
National Provider Identifier
1669639449
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010898 Issued in NY
Legal business name
COOPER CHIROPRACTIC AND WELLNESS CENTER PLLC
Practice address
36 West 44TH Street
Suite 610 6FL
New York, NY 10036-8105
Phone
(646) 941-5061
Fax
(646) 941-5043
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Dr. Brandon R Cooper, DCNPI 1407814817
Title
Owner
Phone
(646) 941-5061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X010898 NY Primary

Addresses

Primary practice location

36 West 44TH Street
Suite 610 6FL
New York, NY 10036-8105

Mailing address

36 West 44TH Street
Suite 610 6FL
New York, NY 10036-8105
Phone (646) 941-5061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041129000014 NY Part B Supplier - Clinic/Group Practice 6800851130 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Cooper Chiropractic and Wellness Center PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 Park Ave S
Ste 2B
New York, NY 10016
Phone (212) 679-4233

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1669639449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WEST 44TH STREET",
            "address_2": "SUITE 610 6FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368105",
            "telephone_number": "646-941-5061",
            "fax_number": "646-941-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WEST 44TH STREET",
            "address_2": "SUITE 610 6FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368105",
            "telephone_number": "646-941-5061",
            "fax_number": "646-941-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER CHIROPRACTIC AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-941-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010898",
            "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 Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.