Organization Active NPI

South Main Chiropractic,P.C.

  • Chiropractor
  • West Islip, NY
National Provider Identifier
1699077008
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0082981 Issued in NY
Legal business name
SOUTH MAIN CHIROPRACTIC,P.C.
Practice address
340 Montauk Hwy
Suite 2
West Islip, NY 11795-4437
Phone
(631) 482-8824
Fax
(631) 482-8827
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. John J Milone, DC
Title
Chiropractor
Phone
(631) 482-8824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X0082981 NY Primary

Addresses

Primary practice location

340 Montauk Hwy
Suite 2
West Islip, NY 11795-4437

Mailing address

340 Montauk Hwy
Suite 2
West Islip, NY 11795-4437
Phone (631) 482-8824

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1699077008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MONTAUK HWY",
            "address_2": "SUITE 2",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954437",
            "telephone_number": "631-482-8824",
            "fax_number": "631-482-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MONTAUK HWY",
            "address_2": "SUITE 2",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954437",
            "telephone_number": "631-482-8824",
            "fax_number": "631-482-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MAIN CHIROPRACTIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "MILONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "631-482-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0082981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.