Individual provider Active NPI

Stewart Summers, D.C.

  • Chiropractor
  • Fresh Meadows, NY
National Provider Identifier
1720214570
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X003579 Issued in NY
Practice address
7504 170TH St
Fresh Meadows, NY 11366-1342
Phone
(516) 770-5578
NPI assigned
Jun 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X003579 NY Primary

Addresses

Primary practice location

7504 170TH St
Fresh Meadows, NY 11366-1342

Mailing address

7504 170TH St
Fresh Meadows, NY 11366-1342
Phone (516) 770-5578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000410 NY Practitioner - Chiropractic 4789032087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Saw Medical Services PCGroup PAC ID 3072757319, 3 clinicians

Practice addresses (Care Compare)

400 Horseblock Rd E
Farmingville, NY 11738-1252
Phone (631) 698-1552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X003579NYMDChiropractor
003579NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saw Medical Services PC CurrentSince Nov 13, 2023 Accepting new patients

Locations

400 Horseblock Rd
Ste E
Farmingville, NY 11738
Phone (631) 698-1552

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1720214570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 170TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661342",
            "telephone_number": "516-770-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 170TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661342",
            "telephone_number": "516-770-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.