Organization Active NPI

Chiropractic Associates of Long Island PC

  • Chiropractor
  • Nesconset, NY
National Provider Identifier
1710109665
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006740 Issued in NY
Legal business name
CHIROPRACTIC ASSOCIATES OF LONG ISLAND PC
Practice address
195 Smithtown Blvd
Ste 105
Nesconset, NY 11767
Phone
(631) 724-1991
Fax
(631) 724-1995
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Gerard J Smith, DC
Title
President
Phone
(631) 724-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X006740 NY Primary

Addresses

Primary practice location

195 Smithtown Blvd
Ste 105
Nesconset, NY 11767

Mailing address

195 Smithtown Blvd
Ste 105
Nesconset, NY 11767
Phone (631) 724-1991

Other names 1

  • Smithconset Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

195 Smithtown Blvd
Ste 55
Nesconset, NY 11767

195 Smithtown Blvd
Ste 5
Nesconset, NY 11767
Phone (631) 724-1991

195 Smithtown Blvd
Ste 105
Nesconset, NY 11767
Phone (631) 724-1991

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1710109665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SMITHTOWN BLVD",
            "address_2": "STE 105",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "11767",
            "telephone_number": "631-724-1991",
            "fax_number": "631-724-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SMITHTOWN BLVD",
            "address_2": "STE 105",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "11767",
            "telephone_number": "631-724-1991",
            "fax_number": "631-724-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC ASSOCIATES OF LONG ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-724-1991",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithconset Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.