Organization Active NPI

Bostroem Chiropractic P.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1992835169
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004403-1 Issued in NY
Legal business name
BOSTROEM CHIROPRACTIC P.C.
Practice address
85 Livingston St
Brooklyn, NY 11201-5031
Phone
(718) 624-4848
Fax
(718) 624-4460
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Lisa C Bostroem, D.C.,M.P.H.
Title
President
Phone
(718) 624-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X004403-1 NY Primary

Addresses

Primary practice location

85 Livingston St
Brooklyn, NY 11201-5031

Mailing address

85 Livingston St
Brooklyn, NY 11201-5031
Phone (718) 624-4848

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1992835169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015031",
            "telephone_number": "718-624-4848",
            "fax_number": "718-624-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015031",
            "telephone_number": "718-624-4848",
            "fax_number": "718-624-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTROEM CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BOSTROEM",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-624-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,M.P.H."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004403-1",
            "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 11, 2008; 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.