Organization Active NPI

New Balance Chiropractic PC

  • Primary Care Clinic/Center
  • Great Neck, NY
National Provider Identifier
1932016979
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NEW BALANCE CHIROPRACTIC PC
Practice address
45 Park Cir
Great Neck, NY 11024-1828
Phone
(917) 821-1029
NPI assigned
Aug 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dr. Mehrzad Isaac Kohansieh, DC
Title
Owner/President
Phone
(917) 821-1029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

45 Park Cir
Great Neck, NY 11024-1828

Mailing address

45 Park Cir
Great Neck, NY 11024-1828
Phone (917) 821-1029

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1932016979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PARK CIR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241828",
            "telephone_number": "917-821-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PARK CIR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241828",
            "telephone_number": "917-821-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BALANCE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "KOHANSIEH",
        "authorized_official_first_name": "MEHRZAD",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-821-1029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.