Individual provider Active NPI

Robert Lee Oerzen Jr., D.C.

  • Chiropractor
  • Bellerose Village, NY
National Provider Identifier
1922183813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002598-1 Issued in NY
Practice address
24836 Jericho Tpke
Bellerose Village, NY 11001-4002
Phone
(516) 352-7111
Fax
(516) 352-7187
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002598-1 NY Primary

Addresses

Primary practice location

24836 Jericho Tpke
Bellerose Village, NY 11001-4002

Mailing address

248-36 Jericho Tpke.
Bellerose Village, NY 11001-4002
Phone (516) 352-7111

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

LicenseStateTypeSpecialty
X002598-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent L. Zara,D.C.,P.C. Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922183813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248-36 JERICHO TPKE.",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014002",
            "telephone_number": "516-352-7111",
            "fax_number": "516-352-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24836 JERICHO TPKE",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014002",
            "telephone_number": "516-352-7111",
            "fax_number": "516-352-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OERZEN",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002598-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose Village, 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.

Verify at the official NPI Registry.