Active NPI
Kerwin Chik, DC
- Chiropractor
- New York, NY
National Provider Identifier
1710795455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013906
- Practice address
- 111 Broadway Suite 1301
New York, NY 10006-3906 - Phone
- (212) 952-9355
- NPI assigned
- Dec 27, 2024
- 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 | 013906 | NY | Primary |
Addresses
Primary practice location
111 Broadway Suite 1301
New York, NY 10006-3906
Mailing address
90 Norwood Ave
Staten Island, NY 10304-3726
Phone (929) 423-7187
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 |
|---|---|---|---|
| 013906 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxwell Medical PC | Chiropractor | Past | Accepting new patients |
| Maxwell Medical Health, PC | Chiropractor | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1881012987
Chiropractor
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1356769442
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1710795455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 NORWOOD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043726",
"telephone_number": "929-423-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BROADWAY SUITE 1301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100063906",
"telephone_number": "212-952-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIK",
"first_name": "KERWIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "013906",
"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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.