Active NPI
Steven Robert Nissenbaum, DC
- Chiropractor
- Richmond Hill, NY
National Provider Identifier
1780643965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X2059
- Practice address
- 105-09 Jamaica Ave
Ste a
Richmond Hill, NY 11418 - Phone
- (718) 441-9390
- Fax
- (718) 441-1061
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X2059 | NY | Primary |
Addresses
Primary practice location
105-09 Jamaica Ave
Ste a
Richmond Hill, NY 11418
Mailing address
105-09 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 441-9390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X2059 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Associates of Richmond Hill PC | Chiropractor | Current | Accepting new patients |
| Synergy Physical Therapy & Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Kanter Physical Medicine & Rehab PC | Past | Accepting new patients |
Locations
10509 Jamaica Ave
Ste A
Richmond Hill, NY 11418
Phone (718) 441-9390
10509 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 441-3211
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Richmond Hill, NY
- NPI 1942338579
-
- Physical Medicine & Rehabilitation Physician
- Richmond Hill, NY
- NPI 1417214966
-
- Chiropractor
- Corona, NY
- NPI 1023533437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780643965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105-09 JAMAICA AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "11418",
"telephone_number": "718-441-9390",
"fax_number": "718-441-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105-09 JAMAICA AVE",
"address_2": "STE A",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "11418",
"telephone_number": "718-441-9390",
"fax_number": "718-441-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISSENBAUM",
"first_name": "STEVEN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X2059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.