Organization Active NPI

Gould Chiropractic PLLC

  • Chiropractor
  • Yonkers, NY
National Provider Identifier
1720512627
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012882 Issued in NY
Legal business name
GOULD CHIROPRACTIC PLLC
Practice address
125 Crescent Place
Yonkers, NY 10704
Phone
(914) 772-3835
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. Conrad Kaiser Gould, D.C.NPI 1992248959
Title
Member/Chiropractor
Phone
(914) 772-3835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 012882 NY Primary

Addresses

Primary practice location

125 Crescent Place
Yonkers, NY 10704

Mailing address

125 Crescent PL
Yonkers, NY 10704-1603
Phone (914) 772-3835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181015003218 NY Part B Supplier - Clinic/Group Practice 8426300708 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY; Spring Valley, NY; New Rochelle, NY; New City, NY; Mohegan Lake, NY; Far Rockaway, NY; Bronx, NY; Montebello, NY

National Provider Directory

National Provider Directory

Locations

11 Prospect St
Spring Valley, NY 10977
Phone (845) 356-2440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1720512627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CRESCENT PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041603",
            "telephone_number": "914-772-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CRESCENT PLACE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10704",
            "telephone_number": "914-772-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOULD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "KAISER",
        "authorized_official_title_or_position": "MEMBER/CHIROPRACTOR",
        "authorized_official_telephone_number": "914-772-3835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.