West 16TH Sports Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005592 Issued in NY

Legal business name

WEST 16TH SPORTS CHIROPRACTIC PC

Practice address

246 W 16TH St
Ste. 1a
New York, NY 10011-6101

Phone

(212) 633-6123

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steven Coniglio, D.C.

Title

Pres/ Owner

Phone

(212) 633-6123

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1801035688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W 16TH ST",
            "address_2": "STE. 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116101",
            "telephone_number": "212-633-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W 16TH ST",
            "address_2": "STE. 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116101",
            "telephone_number": "212-633-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 16TH SPORTS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "CONIGLIO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRES/ OWNER",
        "authorized_official_telephone_number": "212-633-6123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "13853",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "X005592",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P643889",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.