Active NPI
Stephen Wayne Kobrin, DC
- Chiropractor
- White Plains, NY
National Provider Identifier
1902018203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008899
- Practice address
- 100 Mamaroneck Ave
2ND Floor
White Plains, NY 10601-4263 - Phone
- (914) 357-1779
- Fax
- (203) 798-7294
- NPI assigned
- May 7, 2007
- 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 | X008899 | NY | Primary |
Addresses
Primary practice location
100 Mamaroneck Ave
2ND Floor
White Plains, NY 10601-4263
Mailing address
3 Charlottes Way
Danbury, CT 06811-2708
Phone (914) 357-1779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090227000383 | NY | Practitioner - Chiropractic | 2668538638 | Practice locations: White Plains, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Mamaroneck Ave
White Plains, NY 10601-4225
Phone (914) 357-1779
100 Mamaroneck Ave
2ND Floor
White Plains, NY 10601-4263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008899 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902018203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CHARLOTTES WAY",
"city": "DANBURY",
"state": "CT",
"postal_code": "068112708",
"telephone_number": "914-357-1779",
"fax_number": "203-798-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAMARONECK AVE",
"address_2": "2ND FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014263",
"telephone_number": "914-357-1779",
"fax_number": "203-798-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBRIN",
"first_name": "STEPHEN",
"middle_name": "WAYNE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.