Organization Active NPI

Waterfront Chiropractic P.C.

  • Chiropractor
  • Huntington, NY
National Provider Identifier
1750502894
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005931 Issued in NY
Legal business name
WATERFRONT CHIROPRACTIC P.C.
Practice address
146 New York Ave
Huntington, NY 11743-2150
Phone
(631) 549-1749
Fax
(631) 673-7249
NPI assigned
May 2, 2007
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Stacy J Aslan, D.C.NPI 1477622611
Title
Owner
Phone
(631) 549-1490

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 X005931 NY Primary

Addresses

Primary practice location

146 New York Ave
Huntington, NY 11743-2150

Mailing address

146 New York Ave
Huntington, NY 11743-2150
Phone (631) 549-1749

Other identifiers 1

IdentifierTypeStateIssuer
1477622611OtherNYINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090415000426 NY Part B Supplier - Clinic/Group Practice 0749258549 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Locations

146 New York Ave
Huntington, NY 11743
Phone (631) 549-1490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1750502894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 NEW YORK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432150",
            "telephone_number": "631-549-1749",
            "fax_number": "631-673-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 NEW YORK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432150",
            "telephone_number": "631-549-1749",
            "fax_number": "631-673-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "ASLAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-549-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477622611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.