William J Mitrus DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009709 Issued in NY

Legal business name

WILLIAM J MITRUS DC PC

Practice address

745 Terry Rd
Hauppauge, NY 11788-3459

Phone

(631) 665-6881

Fax

(631) 961-0410

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William Mitrus, DCNPI 1750331047

Title

President

Phone

(631) 665-6881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• William Joseph Mitrus, DC CCSP

  • Sports Physician Chiropractor
  • Hauppauge, NY
  • NPI 1750331047
  Medicare reassignment NPD Authorized official
• Xu Chen

  • Acupuncturist
  • Hauppauge, NY
  • NPI 1114502796
  NPD (past)

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1821328006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 TERRY RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883459",
            "telephone_number": "631-665-6881",
            "fax_number": "631-961-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 TERRY RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883459",
            "telephone_number": "631-665-6881",
            "fax_number": "631-961-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J MITRUS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "MITRUS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-665-6881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Whiting, LMSW-LP
• Olynthia Whyte
• Tina Marie Widergren, RN
• Emily Wilfred-Moonie
• Elisa Wilkens
• Jessica Williams
• Kristine Patricia Williams, D.P.T.
• Meredith Williams
• Tia K Williams, RN
• Danielle Marie Williamson, PMHNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.