Advanced Chiropractic of Long Island, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009618 Issued in NY

Legal business name

ADVANCED CHIROPRACTIC OF LONG ISLAND, P.C.

Practice address

1842 E Jericho Tpke
Huntington, NY 11743-5796

Phone

(631) 421-4020

Fax

(631) 421-4185

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith Solomon, D.C.NPI 1427182450

Title

Owner

Phone

(631) 421-4020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Keith Solomon, D.C.

  • Chiropractor
  • Melville, NY
  • NPI 1427182450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1770786501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 E JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435796",
            "telephone_number": "631-421-4020",
            "fax_number": "631-421-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 E JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435796",
            "telephone_number": "631-421-4020",
            "fax_number": "631-421-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC OF LONG ISLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-421-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.