Organization Active NPI

Network Spinal Analysis for Chiropractic Care PC

  • Chiropractor
  • Oceanside, NY
National Provider Identifier
1750653465
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005570 Issued in NY
Legal business name
NETWORK SPINAL ANALYSIS FOR CHIROPRACTIC CARE PC
Doing business as
Dr. Mary M. Johnston
Practice address
222 Merrick Rd
Oceanside, NY 11572-1429
Phone
(516) 623-3195
Fax
(516) 623-1077
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Dr. Mary M Johnston, D.C.NPI 1902965395
Title
Owner
Phone
(516) 623-3195

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 X005570 NY Primary

Addresses

Primary practice location

222 Merrick Rd
Oceanside, NY 11572-1429

Mailing address

222 Merrick Rd
Oceanside, NY 11572-1429
Phone (516) 623-3195

Other identifiers 1

IdentifierTypeStateIssuer
350042604OtherNYMC RAILROAD

Other names 1

  • Dr. Mary M. Johnston Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160722001116 NY Part B Supplier - Clinic/Group Practice 4880987296 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, NY

National Provider Directory

National Provider Directory

Locations

660 Merrick Rd
Baldwin, NY 11510
Phone (516) 223-1251

660 Merrick Rd
Unit 3
Baldwin, NY 11510
Phone (516) 623-3195

222 Merrick Rd
Oceanside, NY 11572
Phone (516) 623-3195

Practitioners & affiliated clinicians

Practitioners 2

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": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1750653465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MERRICK RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721429",
            "telephone_number": "516-623-3195",
            "fax_number": "516-623-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MERRICK RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721429",
            "telephone_number": "516-623-3195",
            "fax_number": "516-623-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETWORK SPINAL ANALYSIS FOR CHIROPRACTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-623-3195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RAILROAD",
            "identifier": "350042604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Mary M. Johnston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Mary M. Johnston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.