Active NPI
Jeffrey Mark Stanger, D.C.
- Chiropractor
- Long Beach, NY
National Provider Identifier
1891883047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X004619-1
- Practice address
- 1015 W Beech St
Long Beach, NY 11561-1203 - Phone
- (516) 889-6900
- Fax
- (516) 897-5833
- NPI assigned
- Oct 11, 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 | X004619-1 | NY | Primary |
Addresses
Primary practice location
1015 W Beech St
Long Beach, NY 11561-1203
Mailing address
1015 W Beech St
Long Beach, NY 11561-1203
Phone (516) 889-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004619 | NY | MD | Behavioral Analyst |
| X004619-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891883047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W BEECH ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611203",
"telephone_number": "516-889-6900",
"fax_number": "516-897-5833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W BEECH ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611203",
"telephone_number": "516-889-6900",
"fax_number": "516-897-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGER",
"first_name": "JEFFREY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X004619-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.