NPIMap

Organization Active NPI

Middletown Chiropractic PC

  • Rehabilitation Chiropractor
  • Middletown, NY
National Provider Identifier
1811066566
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
004509 Issued in NY
Legal business name
MIDDLETOWN CHIROPRACTIC PC
Practice address
52 Dolson Ave
Middletown, NY 10940-6424
Phone
(845) 342-0746
Fax
(845) 342-1397
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Jeffrey Spina, DO
Title
Owner
Phone
(845) 342-0746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 004509 NY Primary

Addresses

Primary practice location

52 Dolson Ave
Middletown, NY 10940-6424

Mailing address

PO Box 490
Middletown, NY 10940-0490
Phone (845) 342-0746

Other identifiers 1

IdentifierTypeStateIssuer
1972512093OtherNYNPI

Other names 1

  • ChiroCare Doing business as

National Provider Directory

National Provider Directory

Locations

201 Dolson Ave
Ste G
Middletown, NY 10940
Phone (845) 342-2225

52 Dolson Ave
Ste 200
Middletown, NY 10940
Phone (845) 342-0000

52 Dolson Ave
Middletown, NY 10940
Phone (914) 342-2225

52 Dolson Ave
#200
Middletown, NY 10940

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1811066566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109400490",
            "telephone_number": "845-342-0746",
            "fax_number": "845-342-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 DOLSON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406424",
            "telephone_number": "845-342-0746",
            "fax_number": "845-342-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "SPINA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-342-0746",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "004509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972512093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.