Organization Active NPI

Chiropractic Rehabilitation Source P.C.

  • Clinic/Center
  • Nyack, NY
National Provider Identifier
1851521686
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
X010986-1 Issued in NY
Legal business name
CHIROPRACTIC REHABILITATION SOURCE P.C.
Practice address
9 Ingalls St
Ste 41
Nyack, NY 10960-2318
Phone
(845) 517-0222
NPI assigned
Jul 14, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Alex Hilario, D.C.
Title
Owner
Phone
(715) 597-9287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X X010986-1 NY Primary

Addresses

Primary practice location

9 Ingalls St
Ste 41
Nyack, NY 10960-2318

Mailing address

PO Box 172
Sloatsburg, NY 10974-0172
Phone (845) 517-0222

Other identifiers 1

IdentifierTypeStateIssuer
X07N51OtherNYMEDICARE

National Provider Directory

National Provider Directory

Locations

9 Ingalls St
Ste 41
Nyack, NY 10960
Phone (845) 517-0222

1034 N Broadway
#2N
Yonkers, NY 10701

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1851521686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "SLOATSBURG",
            "state": "NY",
            "postal_code": "109740172",
            "telephone_number": "845-517-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 INGALLS ST",
            "address_2": "STE 41",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602318",
            "telephone_number": "845-517-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHABILITATION SOURCE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "HILARIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-597-9287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "X010986-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "X07N51",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.