Individual provider Active NPI

Tatyana Gimmelberg, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1932287109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010457 Issued in NY
Practice address
3003 Avenue K
Brooklyn, NY 11210-4132
Phone
(917) 742-2143
NPI assigned
Nov 2, 2006
Sex
Female
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 X010457 NY Primary

Addresses

Primary practice location

3003 Avenue K
Brooklyn, NY 11210-4132

Mailing address

2662 Ocean Ave
Apt #A7
Brooklyn, NY 11229-4557
Phone (718) 743-8470

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
X010457NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Care Chiropractic PLLC 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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932287109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 OCEAN AVE",
            "address_2": "APT #A7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294557",
            "telephone_number": "718-743-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104132",
            "telephone_number": "917-742-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMMELBERG",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.