Active NPI
Evan B Sorkin, DC
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1861465403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008652
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01910214 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| X008652 | NY | MD | Chiropractor |
| 008652 | NY | MD | Registered 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.