Individual provider Active NPI

Steven A Shoshany, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1962504092
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008479-1 Issued in NY
Practice address
636 Broadway RM 304
New York, NY 10012-2623
Phone
(212) 645-8151
Fax
(613) 584-5825
NPI assigned
Sep 1, 2006
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008479-1 NY Primary

Addresses

Primary practice location

636 Broadway RM 304
New York, NY 10012-2623

Mailing address

636 Broadway Ste 1210
New York, NY 10012-2624
Phone (212) 645-8151

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X008479-1NYMDChiropractor
008479NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Noho Chiropractic PC Chiropractor CurrentSince Nov 19, 2023 Accepting new patients

Locations

636 Broadway
Rm 304
New York, NY 10012
Phone (212) 645-8151

636 Broadway
Ste 1210
New York, NY 10012

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1962504092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 BROADWAY STE 1210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122624",
            "telephone_number": "212-645-8151",
            "fax_number": "613-584-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 BROADWAY RM 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122623",
            "telephone_number": "212-645-8151",
            "fax_number": "613-584-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOSHANY",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-11-15",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008479-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.