LONG ISLAND CHIROPRACTIC, HEALTH & WELLNESS, P.C. (NPI# 1295866358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295866358 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND CHIROPRACTIC, HEALTH & WELLNESS, P.C. |
| Other Organization Name | SMITHTOWN WELLNESS |
| Practice Address |
285 Middle Country Rd Suite 204 Smithtown NY 11787-2978 |
| Practice Telephone | 6313619355 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-05-13 |
| Authorized Official Name | DR. SCOTT BRUNENGRABER (SOLE OWNER) |
| Authorized Official Telephone | 6313619355 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X009316 | NY | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Smithtown Wellness | Doing Business As Name - Organization |
| Street Address |
285 MIDDLE COUNTRY RD SUITE 204 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249873 | Timothy James Murphy IIi | Dentist | 285 Middle Country Rd, Suite Ll-7, Smithtown, NY 11787-2978 | 2006-01-13 |
| 1912531542 | Niti Praveen Mohan | Internal Medicine | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2020-02-21 |
| 1578043881 | Melissa Rodzen | Physician Assistant | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2018-08-16 |
| 1699201970 | Beena Jacob | Nurse Practitioner | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2017-05-05 |
| 1023487410 | Sj Chiropractic, P.C. | Chiropractor | 285 Middle Country Rd, Ste 204, Smithtown, NY 11787-2978 | 2015-09-16 |
| 1326421942 | Melanie Perlson | Clinic/Center | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2015-07-01 |
| 1801155130 | New York Spine Care Medical, PC | Physical Medicine & Rehabilitation | 285 Middle Country Rd, Suite- Ll6, Smithtown, NY 11787-2978 | 2012-05-07 |
| 1619249059 | North Shore Oral Surgery, LLC | Dentist | 285 Middle Country Rd, Suite #108, Smithtown, NY 11787-2978 | 2012-02-01 |
| 1760717292 | Smithtown Endodontics P.C. | Dentist | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2009-10-16 |
| 1295068930 | Middle Country Endocrinology, PC | Internal Medicine | 285 Middle Country Rd, Suite 105, Smithtown, NY 11787-2978 | 2009-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336332063 | Raymond E. Bowles, Dc | Chiropractor | 165 Hauppauge Rd, Smithtown, NY 11787-4850 | 2007-08-27 |
| 1578642138 | Joseph C Sullivan IIi | Chiropractor | 17 Leonard St, Smithtown, NY 11787-1015 | 2006-11-03 |
| 1619062577 | Robert Stephen Wilder | Chiropractor | 329 East Jericho Turnpike, Smithtown, NY 11787 | 2006-10-04 |
| 1417052499 | Philip Albert Facquet IIi | Chiropractor | 35 Washington Blvd, Smithtown, NY 11787 | 2006-09-14 |
| 1912927047 | Benjamin Tannenbaum | Chiropractor | 496 Smithtown Byp Ste 200, Smithtown, NY 11787-5011 | 2006-07-20 |
| 1376562025 | David A Wallman | Chiropractor | 32 Lawrence Ave, Smithtown, NY 11787-3605 | 2006-07-19 |
| 1750311502 | John W. Lohr | Chiropractor | 359 Route 111, Smithtown, NY 11787-4739 | 2006-07-04 |
| 1467416446 | Richard Steven Block | Chiropractor | 301 Maple Ave, Smithtown, NY 11787-4900 | 2006-04-14 |
| 1346224755 | Desi M Menendez | Chiropractor | 20 Gilbert Ave, Suite 203, Smithtown, NY 11787-5326 | 2005-11-30 |
| 1881292092 | New Beginnings Chiropractic, PC | Chiropractor | 323 E Main St Ste 1, Smithtown, NY 11787-2822 | 2020-10-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.