Active NPI
Nektalov Family Chiropractic & PT PLLC
- Chiropractor
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011815
- Legal business name
- NEKTALOV FAMILY CHIROPRACTIC & PT PLLC
- Practice address
- 15031 Union Tpke
Flushing, NY 11367-3927 - Phone
- (347) 829-6322
- NPI assigned
- Dec 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Boris Nektalov, DC
- Title
- Chiropractor
- Phone
- (347) 829-6322
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011815 | NY | Primary |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
15031 Union Tpke
Flushing, NY 11367-3927
Mailing address
PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Nektalov Family Chiropractic PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Jamaica, NY
- NPI 1447567177
Locations
16110 Jamaica Ave
Ste 301
Jamaica, NY 11432
Phone (212) 404-8080
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Flushing, NY
- NPI 1285950568
-
- Psychiatry Physician
- Hollis, NY
- NPI 1487691820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438041600000",
"number": "1790087237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117620270",
"telephone_number": "631-264-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15031 UNION TPKE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673927",
"telephone_number": "347-829-6322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEKTALOV FAMILY CHIROPRACTIC & PT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-02",
"last_updated": "2015-07-28",
"status": "A",
"authorized_official_last_name": "NEKTALOV",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "347-829-6322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X011815",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.