Individual provider Active NPI

Joseph Kelberman, DC

  • Chiropractor
  • Cedarhurst, NY
National Provider Identifier
1982775193
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002792-2 Issued in NY
Practice address
286 Washington Ave
Floor 2
Cedarhurst, NY 11516-1521
Phone
(516) 791-3873
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002792-2 NY Primary

Addresses

Primary practice location

286 Washington Ave
Floor 2
Cedarhurst, NY 11516-1521

Mailing address

286 Washington Ave
Floor 2
Cedarhurst, NY 11516-1521
Phone (516) 791-3873

Other identifiers 1

IdentifierTypeStateIssuer
C02792-2OtherNYWCB

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
X002792-2NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1982775193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 WASHINGTON AVE",
            "address_2": "FLOOR 2",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161521",
            "telephone_number": "516-791-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 WASHINGTON AVE",
            "address_2": "FLOOR 2",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161521",
            "telephone_number": "516-791-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELBERMAN",
        "first_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002792-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB",
            "identifier": "C02792-2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.