Organization Active NPI

Malverne Family Chiropractic, PC

  • Chiropractor
  • Malverne, NY
National Provider Identifier
1801291828
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006484 Issued in NY
Legal business name
MALVERNE FAMILY CHIROPRACTIC, PC
Practice address
301 Hempstead Ave
Malverne, NY 11565-1225
Phone
(516) 599-6556
NPI assigned
Nov 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Andrew Robert Forelli Jr., D.C.
Title
President
Phone
(516) 599-6556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X006484 NY Primary

Addresses

Primary practice location

301 Hempstead Ave
Malverne, NY 11565-1225

Mailing address

301 Hempstead Ave
Malverne, NY 11565-1225
Phone (516) 599-6556

National Provider Directory

National Provider Directory

Locations

301 Hempstead Ave
Malverne, NY 11565
Phone (516) 505-0755

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1801291828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEMPSTEAD AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651225",
            "telephone_number": "516-599-6556",
            "fax_number": "516-887-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEMPSTEAD AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651225",
            "telephone_number": "516-599-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALVERNE FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "FORELLI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-599-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.