Active NPI
Robert L Brostowin, DC PC
- Neurology Chiropractor
- Wantagh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- X006335-1
- Practice address
- 3487 Jerusalem Ave
Wantagh, NY 11793-2000 - Phone
- (516) 221-0900
- Fax
- (516) 221-0567
- NPI assigned
- Apr 17, 2007
- Last updated
- Nov 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | X006335-1 | NY | Primary |
Addresses
Primary practice location
3487 Jerusalem Ave
Wantagh, NY 11793-2000
Mailing address
3487 Jerusalem Ave
Wantagh, NY 11793-2000
Phone (718) 261-6705
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4165432 | Other | NY | CIGNA |
| P2679219 | Other | NY | OXFORD |
| 020614752 | Other | NY | GHI |
| 3031202 | Other | NY | AETNA |
| C006335-6 | Other | NY | WORKER COMP. |
| 5G21 | Other | NY | EMPIRE BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3487 Jerusalem Ave
Wantagh, NY 11793-2000
Phone (516) 221-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X006335-1 | NY | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert L. Brostowin DC PC | Neurology | Current | Accepting new patients |
| James J. Brostowin, D.C., P.C. | Neurology | Current | Accepting new patients |
Locations
7150 Austin St
Ste 102
Forest Hills, NY 11375
Phone (718) 261-6705
3487 Jerusalem Ave
Wantagh, NY 11793
Phone (516) 221-0900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Chiropractor
- Forest Hills, NY
- NPI 1427264514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1720204019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3487 JERUSALEM AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932000",
"telephone_number": "718-261-6705",
"fax_number": "718-261-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3487 JERUSALEM AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932000",
"telephone_number": "516-221-0900",
"fax_number": "516-221-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSTOWIN",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "X006335-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4165432",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2679219",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "020614752",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3031202",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER COMP.",
"identifier": "C006335-6",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC BS",
"identifier": "5G21",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
- Bronx Neighborhood NP in Family and Womens Health Care PLLC
- Marjorie Brook, LMT
- Mitchell S Brookstone, DDS
- Brookville Center for Children's Services Inc.
- James John Brostowin, D.C.
- Alexandra Brown, LMHC, CASAC
- Susan Marie Browne, MS, CCC-SLP
- Ashley Rose Browning
- Christie Marie Brulhardt, MSED, CASAC-T
- Marianne Elizabeth Brulhardt, NPP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.