Individual provider Active NPI

Douglas Van Eck, DC

  • Chiropractor
  • Melville, NY
National Provider Identifier
1821719758
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013842 Issued in NY
Practice address
740 Walt Whitman Rd
Melville, NY 11747-2212
Phone
(631) 646-2256
Fax
(631) 249-1793
NPI assigned
Sep 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013842 NY Primary

Addresses

Primary practice location

740 Walt Whitman Rd
Melville, NY 11747-2212

Mailing address

PO Box 1359
Melville, NY 11747-0308
Phone (631) 646-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220930000360 NJ Practitioner - Chiropractic 9032595970 Reassigns benefits to 4 organizations
I20240923003203 NY Practitioner - Chiropractic 9032595970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suffolk Physical Therapy and Chiropractic PLLCGroup PAC ID 3072927763, 5 clinicians

Practice addresses (Care Compare)

740 Walt Whitman Rd
Melville, NY 11747-2212
Phone (631) 646-2256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013842NYMDChiropractor
013842NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Sep 9, 2022 Accepting new patients
Suffolk Physical Therapy & Chiropractic, PLLC Chiropractor CurrentSince Jul 19, 2024 Accepting new patients
Emerson Physical Therapy LLC CurrentSince Sep 9, 2022 Accepting new patients
Maywood Physical Therapy LLC Chiropractor CurrentSince Sep 9, 2022 Accepting new patients
Bergenfield Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Sep 9, 2022 Accepting new patients

Locations

253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053

1373 Broad St
Ste 202
Clifton, NJ 07013
Phone (862) 249-1330

1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330

45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415

119 E Passaic St
Maywood, NJ 07607
Phone (201) 880-7787

1050 Old Nichols Rd
Islandia, NY 11749
Phone (631) 533-4132

740 Walt Whitman Rd
Melville, NY 11747
Phone (631) 646-2256

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1821719758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117470308",
            "telephone_number": "631-646-2256",
            "fax_number": "631-249-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472212",
            "telephone_number": "631-646-2256",
            "fax_number": "631-249-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ECK",
        "first_name": "DOUGLAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.