Individual provider Active NPI

Terrence John Mundy, DC

  • Chiropractor
  • Belle Harbor, NY
National Provider Identifier
1992835672
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0083941 Issued in NY
Practice address
12910 Newport Ave
Belle Harbor, NY 11694
Phone
(718) 634-4800
Fax
(718) 474-0735
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 X0083941 NY Primary

Addresses

Primary practice location

12910 Newport Ave
Belle Harbor, NY 11694

Mailing address

12910 Newport Ave
Belle Harbor, NY 11694
Phone (718) 634-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000693 NY Practitioner - Chiropractic 2365691854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12910 Newport Ave
Belle Harbor, NY 11694-1617
Phone (718) 634-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008394NYMDClinical Psychologist
X0083941NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rockaway Beach Chiropractic PLLC Chiropractor CurrentSince Dec 21, 2025 Accepting new patients
Rockaway Family Chiropractic PC Chiropractor CurrentSince Nov 13, 1996 Accepting new patients

Locations

12910 Newport Ave
Rockaway Park, NY 11694
Phone (718) 634-4800

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1992835672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 NEWPORT AVE",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-634-4800",
            "fax_number": "718-474-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 NEWPORT AVE",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-634-4800",
            "fax_number": "718-474-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "TERRENCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0083941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.