Alan P Sherr, DC
Individual provider Active NPI Chiropractor · Northport, NY
NPI 1780767657 · NPPES record last updated Nov 16, 2007
Key facts
- NPI
- 1780767657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X2546 (NY)
- Practice address
- 220 Fort Salonga Rd
25A
Northport, NY 11768 - Phone
- (631) 262-8505
- Fax
- (631) 754-2909
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
220 Fort Salonga Rd
Northport, NY 11768-3900
Phone (631) 262-8505
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080430000169 | NY | Practitioner - Chiropractic | 1557440716 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X2546 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan P Sherr DC PC | Chiropractor | Current |
Accepting new patients |
| Deer Park PT & Pta Physical Therapy & Rehabilitation, PLLC | Past | Accepting new patients |
Locations
220 Route 25A
Northport, NY 11768
Phone (631) 262-8505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X2546 | NY | Yes |
Addresses
Primary practice location
220 Fort Salonga Rd
25A
Northport, NY 11768
Mailing address
220 Fort Salonga Rd
25A
Northport, NY 11768
Phone (631) 262-8505
NPI Registry JSON
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1780767657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 FORT SALONGA RD",
"address_2": "25A",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "631-262-8505",
"fax_number": "631-754-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 FORT SALONGA RD",
"address_2": "25A",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "631-262-8505",
"fax_number": "631-754-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERR",
"first_name": "ALAN",
"middle_name": "P",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X2546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.