Penn Station Chiropractic and Wellness Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011181-1 Issued in NY

Legal business name

PENN STATION CHIROPRACTIC AND WELLNESS INC.

Practice address

450 7TH Ave Ste 309
New York, NY 10123-0309

Phone

(212) 268-7366

Fax

(212) 594-2468

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Shave, DC

Title

Owner

Phone

(212) 268-7366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1790085074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 7TH AVE STE 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230309",
            "telephone_number": "212-268-7366",
            "fax_number": "212-594-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 7TH AVE STE 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230309",
            "telephone_number": "212-268-7366",
            "fax_number": "212-594-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN STATION CHIROPRACTIC AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "SHAVE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-268-7366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011181-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu-Ching Peng
• Diana Alejandra Penilla, R.N.
• Christine Penington, BCBA
• Kavya Penmethsa, DO
• Penn Medical Services, P.C.
• Penn Station Physical Therapy and Chiropractic PLLC
• Allison Penn
• Anna Asher Penn, MD, PHD
• Deahna Penn
• Elizabeth Penn, PT

• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.