Brookhaven Spine & Sports Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BROOKHAVEN SPINE & SPORTS CHIROPRACTIC

Practice address

239 E Main St
Patchogue, NY 11772-3105

Phone

(631) 627-6300

NPI assigned

Oct 27, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Joseph Viso, DCNPI 1356377618

Title

Partner

Phone

(917) 921-0054

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Joseph Viso, DC

  • Chiropractor
  • Brentwood, NY
  • NPI 1356377618
  NPD Authorized official

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1801550769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723105",
            "telephone_number": "631-627-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723105",
            "telephone_number": "631-627-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN SPINE & SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "VISO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "917-921-0054",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Surgical Services PC
• Brookhaven Surgical Services, P.C.
• Kimberly Brosnan
• Rohawne Brown, LPN
• Linda Marie Bruno, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.