NPIMap

Organization Active NPI

Neil J Koppel DC PC

  • Chiropractor
  • Lake Success, NY
National Provider Identifier
1922286871
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008178 Issued in NY
Legal business name
NEIL J KOPPEL DC PC
Practice address
444 Lakeville Rd
Suite 203
Lake Success, NY 11042-1165
Phone
(516) 504-4040
Fax
(516) 482-1948
NPI assigned
Feb 2, 2008
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Neil J Koppel, DC LACNPI 1619021839
Title
Owner
Phone
(516) 504-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008178 NY Primary
Acupuncturist 171100000X 002077 NY

Addresses

Primary practice location

444 Lakeville Rd
Suite 203
Lake Success, NY 11042-1165

Mailing address

4500 Executive Dr
Suite 330
Naples, FL 34119-8939
Phone (239) 214-0214

Other identifiers 4

IdentifierTypeStateIssuer
002077OtherNYNY ACU LIC #
CO8178-1OtherNYNYS WC #
X75291OtherNYMEICARE INDIVIDUAL PROV #
X008178OtherNYNY CHIRO LIC #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1922286871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 EXECUTIVE DR",
            "address_2": "SUITE 330",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198939",
            "telephone_number": "239-214-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "SUITE 203",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421165",
            "telephone_number": "516-504-4040",
            "fax_number": "516-482-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL J KOPPEL DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-504-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008178",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY ACU LIC #",
            "identifier": "002077",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WC #",
            "identifier": "CO8178-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEICARE INDIVIDUAL PROV #",
            "identifier": "X75291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY CHIRO LIC #",
            "identifier": "X008178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.