Individual provider Active NPI

Evan B Sorkin, DC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1861465403
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008652 Issued in NY
Practice address
3000 Ocean Pkwy
Suite 2G
Brooklyn, NY 11235-8367
Phone
(718) 714-4650
Fax
(718) 265-0345
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008652 NY Primary

Addresses

Primary practice location

3000 Ocean Pkwy
Suite 2G
Brooklyn, NY 11235-8367

Mailing address

3000 Ocean Pkwy
Suite 2G
Brooklyn, NY 11235-8367
Phone (718) 714-4650

Other identifiers 1

IdentifierTypeStateIssuer
01910214MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000008 NY Practitioner - Chiropractic 7113024936 Practice locations: Brooklyn, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 Ocean Pkwy
2G
Brooklyn, NY 11235-8344
Phone (718) 714-4650

8931 161St St
Jamaica, NY 11432-6140
Phone (718) 657-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008652NYMDChiropractor
008652NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1861465403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY",
            "address_2": "SUITE 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358367",
            "telephone_number": "718-714-4650",
            "fax_number": "718-265-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY",
            "address_2": "SUITE 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358367",
            "telephone_number": "718-714-4650",
            "fax_number": "718-265-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORKIN",
        "first_name": "EVAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01910214",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.