JONATHAN SHEA DEGORTER D.C.
NPI 1053657643
Chiropractor in Syosset, NY

Active since December 31, 2012
99 COLD SPRING RD STE 102A, SYOSSET, NY 11791(516) 921-1295(516) 496-2860 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2022, Feb 24, 2021 (2 updates tracked since 2021).

About Jonathan Shea Degorter D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN SHEA DEGORTER D.C. (NPI 1053657643) is an individual chiropractor in Syosset, New York, licensed in New York (X012214-1) and active in the NPI registry since December 2012. He maintains a secondary practice location in Syosset.

NPPES Registry Identity

NPI1053657643
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJONATHAN SHEA DEGORTERCredential: D.C.
Location Address99 COLD SPRING RD STE 102ASyosset, NY 11791-3140
Mailing Address99 Cold Spring Rd Ste 102aSyosset, NY 11791-3140 · (516) 921-1295 · Fax (516) 496-2860
Fax(516) 496-2860
Sole ProprietorYes
Enumeration DateDecember 31, 2012
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
NPI 1053657643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X012214-1
Definition

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.

99 COLD SPRING RD STE 102A, Syosset, NY 11791

Secondary Practice Location 1

Location 133 Queens StSyosset, NY 11791-3063 · Phone (516) 921-1295 · Fax (516) 496-2860

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
99 COLD SPRING RD STE 102A
SYOSSET, NY 11791
Chiropractor
99 COLD SPRING RD STE 102A
SYOSSET, NY 11791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053657643, enumerated as an "individual" on December 31, 2012.

The provider is located at 99 COLD SPRING RD STE 102A SYOSSET, NY 11791 and the phone number is (516) 921-1295.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.