Organization Active NPI

Co-Op City Chiropractic P C

  • Chiropractor
  • Bronx, NY
National Provider Identifier
1770666166
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0043541 Issued in NY
Legal business name
CO-OP CITY CHIROPRACTIC P C
Practice address
2100 Bartow Ave
Bronx, NY 10475-4614
Phone
(718) 320-9000
Fax
(718) 320-9380
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Dr. Henry Nelson Hall, DR OF CHIROPRACTICNPI 1124101571
Title
President
Phone
(718) 379-1000

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 X0043541 NY Primary

Addresses

Primary practice location

2100 Bartow Ave
Bronx, NY 10475-4614

Mailing address

2100 Bartow Ave
Suite 227
Bronx, NY 10475-4614
Phone (718) 320-9000

Other identifiers 2

IdentifierTypeStateIssuer
043349OtherNYWEB
1094808000OtherUS DEPT OF LABOR

Other names 1

  • Dr Henry Hall Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120626000532 NY Part B Supplier - Clinic/Group Practice 2769647734 Receives reassigned benefits from 2 practitioners
Practice locations: Bronx, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

2100 Bartow Ave
Rm 227
Bronx, NY 10475
Phone (718) 320-9000

110 W 34th St
New York, NY 10001
Phone (212) 563-3730

Practitioners & affiliated clinicians

Practitioners 5

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1770666166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BARTOW AVE",
            "address_2": "SUITE 227",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754614",
            "telephone_number": "718-320-9000",
            "fax_number": "718-320-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754614",
            "telephone_number": "718-320-9000",
            "fax_number": "718-320-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-OP CITY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-379-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR OF CHIROPRACTIC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0043541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEB",
            "identifier": "043349",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "1094808000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Henry Hall",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.