Individual provider Active NPI

Christopher Michael Gabriels, D.C.

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1710946579
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010022 Issued in NY
Practice address
3 Spring Square Business Park
Newburgh, NY 12550-7006
Phone
(845) 564-0083
Fax
(845) 564-0094
NPI assigned
Mar 21, 2006
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010022 NY Primary

Addresses

Primary practice location

3 Spring Square Business Park
Newburgh, NY 12550-7006

Mailing address

15 Quarry St
Kingston, NY 12401-2813
Phone (845) 338-0170

Other identifiers 3

IdentifierTypeStateIssuer
10057467OtherNYCDPHP
5898064OtherNYGHI
C10022-4BOtherNYWORKERS COMP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000739 NY Practitioner - Chiropractic 5395761878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Spring Square Business Park
Newburgh, NY 12550-7006
Phone (845) 564-0083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010022NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriels Family Chiropractic, P.C. Chiropractor CurrentSince Jan 1, 2007 Accepting new patients
Owego Chiropractic PC Chiropractor PastSince Jun 27, 2002 Accepting new patients
Howells Chiropractic Chiropractor Past Accepting new patients
Leah Humphries Past Accepting new patients

Locations

15 Quarry St
Kingston, NY 12401
Phone (845) 338-0170

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1710946579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 QUARRY ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012813",
            "telephone_number": "845-338-0170",
            "fax_number": "845-564-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPRING SQUARE BUSINESS PARK",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507006",
            "telephone_number": "845-564-0083",
            "fax_number": "845-564-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10057467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5898064",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "C10022-4B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.