Vanessa Lynn Broome, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013738 Issued in NY

Practice address

901 Stewart Ave Ste 285
Garden City, NY 11530-6800

Phone

(516) 742-5715

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Vanessa Lynn Broome Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Long Island Sound Chiropractic PLLC

  • Chiropractor
  • Oakdale, NY
  • NPI 1477358604
  NPD

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1841970449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LORAINE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171807",
            "telephone_number": "631-365-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE STE 285",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306800",
            "telephone_number": "516-742-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "VANESSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BROOME",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bruce W Brewer, M.D.
• Valerie Brillaud, DPT
• Victoria Brocht, OTR/L
• Tatum J. Brogan, MS, R-DMT, LCAT
• Richard Nicholas Brooks, DPT
• Amanda Brown
• Bianka Brown
• Gladys Brown, LCSW
• Kenya Brown
• Kimberly Brown

• Chiropractor in Garden City, NY
• Providers in Garden City, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.