South Shore Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009193 Issued in NY

Legal business name

SOUTH SHORE CHIROPRACTIC PC

Practice address

700 Horseblock Rd
Farmingville, NY 11738-1240

Phone

(631) 732-1386

Fax

(631) 732-1544

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Campo, DCNPI 1720074214

Title

Chiropractor Owner

Phone

(631) 732-1386

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael James Campo, DC

  • Chiropractor
  • Farmingville, NY
  • NPI 1720074214
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1962499467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HORSEBLOCK RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381240",
            "telephone_number": "631-732-1386",
            "fax_number": "631-732-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HORSEBLOCK RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381240",
            "telephone_number": "631-732-1386",
            "fax_number": "631-732-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "631-732-1386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Smith, DC
• Jennifer Jean Smith, RN
• Arnold Snetiker, DDS
• Stephanie Sosa
• Erik Soto, MSW
• Stephanie Rose Stankewicz, LPN
• Stat Doc LLC
• Stat Psychiatry PC
• Statpsych LLP
• Shari Elise Steckel, MS,CCC,SLP

• Chiropractor in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.

Verify at the official NPI Registry.