Organization Active NPI

MRNN Chiropractic P.C.

  • Independent Medical Examiner Chiropractor
  • Freeport, NY
National Provider Identifier
1821676198
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
Legal business name
MRNN CHIROPRACTIC P.C.
Practice address
30 S Ocean Ave RM 102
Freeport, NY 11520-3550
Phone
(516) 705-5600
Fax
(516) 705-5602
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Nestor Nicolaides, DCNPI 1578611299
Title
Owner/Operator
Phone
(516) 705-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X Primary

Addresses

Primary practice location

30 S Ocean Ave RM 102
Freeport, NY 11520-3550

Mailing address

30 S Ocean Ave
Freeport, NY 11520-3550
Phone (516) 705-5600

National Provider Directory

National Provider Directory

Locations

30 S Ocean Ave
Freeport, NY 11520
Phone (516) 607-0910

Practitioners & affiliated clinicians

Practitioners 1

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": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1821676198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S OCEAN AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203550",
            "telephone_number": "516-705-5600",
            "fax_number": "516-705-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S OCEAN AVE RM 102",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203550",
            "telephone_number": "516-705-5600",
            "fax_number": "516-705-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRNN CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "NICOLAIDES",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "516-705-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

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