Individual provider Active NPI

Marla Joette Loughran, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1679720403
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011578-1 Issued in NY
Practice address
50 91St St
Brooklyn, NY 11209-6102
Phone
(718) 680-2222
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011578-1 NY Primary

Addresses

Primary practice location

50 91St St
Brooklyn, NY 11209-6102

Mailing address

50 91St St
Brooklyn, NY 11209-6102
Phone (917) 601-6606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000508 NY Practitioner - Chiropractic 9133276785 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Mandarino Chiropractic PCGroup PAC ID 4688164007, 4 clinicians
Bay Ridge Chiropractic, Professional CorporationGroup PAC ID 6204221260, 2 clinicians

Practice addresses (Care Compare)

50 91St St
Brooklyn, NY 11209-6102
Phone (718) 680-2222

9705 3Rd Ave
Brooklyn, NY 11209-7702
Phone (718) 748-9624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011578-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Ridge Chiropractic, Professional Corporation Chiropractor CurrentSince Dec 1, 2024 Accepting new patients
Mandarino Chiropractic PC CurrentSince Oct 8, 2025 Accepting new patients

Locations

9705 3rd Ave
Brooklyn, NY 11209
Phone (718) 748-9624

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1679720403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 91ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096102",
            "telephone_number": "917-601-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 91ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096102",
            "telephone_number": "718-680-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHRAN",
        "first_name": "MARLA",
        "middle_name": "JOETTE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011578-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.