Organization Active NPI

Bronx Chiropractic Services PC

  • Chiropractor
  • Bronx, NY
National Provider Identifier
1811202922
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009043 Issued in NY
Legal business name
BRONX CHIROPRACTIC SERVICES PC
Practice address
1957 Southern Blvd
2ND Floor
Bronx, NY 10460-1419
Phone
(347) 590-7094
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Robert Super, DC
Title
President
Phone
(516) 307-1345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009043 NY Primary

Addresses

Primary practice location

1957 Southern Blvd
2ND Floor
Bronx, NY 10460-1419

Mailing address

595 Stewart Ave
Suite 750
Garden City, NY 11530-4787
Phone (516) 307-1345

National Provider Directory

National Provider Directory
Tax ID family
Bronx Chiropractic Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1811202922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 STEWART AVE",
            "address_2": "SUITE 750",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304787",
            "telephone_number": "516-307-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 SOUTHERN BLVD",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601419",
            "telephone_number": "347-590-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX CHIROPRACTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SUPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-307-1345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.