Active NPI
Bruce Norman Alpert, D.C.
- Orthopedic Chiropractor
- Flushing, NY
National Provider Identifier
1922008788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 2769
- Practice address
- 14242 41St Ave
Flushing, NY 11355-2435 - Phone
- (718) 463-0006
- Fax
- (718) 460-2936
- NPI assigned
- Jul 22, 2005
- Last updated
- Jan 29, 2010
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 2769 | NY | Primary |
Addresses
Primary practice location
14242 41St Ave
Flushing, NY 11355-2435
Mailing address
14242 41St Ave
Flushing, NY 11355-2435
Phone (718) 463-0006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101110001361 | NY | Practitioner - Chiropractic | 9436344801 | Practice locations: Flushing, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2769 | NY | MD | Occupational Therapist |
| 002769 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1922008788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14242 41ST AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552435",
"telephone_number": "718-463-0006",
"fax_number": "718-460-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14242 41ST AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552435",
"telephone_number": "718-463-0006",
"fax_number": "718-460-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALPERT",
"first_name": "BRUCE",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NY",
"license": "2769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.