Individual provider Active NPI

Matthew A Aron, D.C.

  • Chiropractor
  • Stony Brook, NY
National Provider Identifier
1912092883
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008576-1 Issued in NY
Practice address
19 Sanford LN
Suite M
Stony Brook, NY 11790-3303
Phone
(631) 736-2323
Fax
(631) 736-3116
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008576-1 NY Primary

Addresses

Primary practice location

19 Sanford LN
Suite M
Stony Brook, NY 11790-3303

Mailing address

19 Sanford LN
Stony Brook, NY 11790-3303
Phone (631) 736-2323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000914 NY Practitioner - Chiropractic 7113191149 Practice locations: Coram, 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)

1970 Route 112
Suite 6
Coram, NY 11727-2300
Phone (631) 736-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008576-1NYMDChiropractor
008576NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1912092883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SANFORD LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903303",
            "telephone_number": "631-736-2323",
            "fax_number": "631-467-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SANFORD LN",
            "address_2": "SUITE M",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903303",
            "telephone_number": "631-736-2323",
            "fax_number": "631-736-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARON",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008576-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.