ENVISION WELLNESS CHIROPRACTIC PC
NPI 1053818369
Chiropractor - Nutrition in Bohemia, NY

Active since April 12, 2018
1461 LAKELAND AVE, SUITE 9, BOHEMIA, NY 11716(631) 467-8224(631) 585-7575 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2022, Apr 12, 2018 (2 updates tracked since 2018).

About Envision Wellness Chiropractic Pc NPPES

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

ENVISION WELLNESS CHIROPRACTIC PC (NPI 1053818369) is a healthcare organization registered as a nutrition in Bohemia, New York and active in the NPI registry since April 2018. The organization lists Frederick Tinari, Pres./owner, as its authorized official.

NPPES Registry Identity

NPI1053818369
Entity TypeOrganization
Primary Taxonomy111NN1001X
Legal Business NameENVISION WELLNESS CHIROPRACTIC PC
Location Address1461 LAKELAND AVE, SUITE 9Bohemia, NY 11716
Mailing Address1461 Lakeland Ave, Suite 9Bohemia, NY 11716 · (631) 467-8224 · Fax (631) 585-7575
Fax(631) 585-7575
Organization SubpartNo
Authorized OfficialFrederick TinariPres./owner · (631) 467-8224
Enumeration DateApril 12, 2018
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1053818369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
License✔ Licensed in NY · X003397-1
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
1461 LAKELAND AVE, Bohemia, NY 11716

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Envision Wellness Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Envision Wellness Chiropractic PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1750437455
1461 LAKELAND AVE SUITE 9
Bohemia, NY 11716
(631) 467-8224
✔ Accepts MedicareSame address
Chiropractic
NPI 1275542565
233 UNION AVE SUITE 102
Holbrook, NY 11741
(631) 981-2222
✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Envision Wellness Chiropractic PC's NPI number?

The NPI number for Envision Wellness Chiropractic PC is 1053818369. It was assigned to this organization in the NPPES registry on April 12, 2018.

Where is Envision Wellness Chiropractic PC located?

Envision Wellness Chiropractic PC is located at 1461 Lakeland Ave Suite 9, Bohemia, NY 11716. The listed phone number is (631) 467-8224.

What is Envision Wellness Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Envision Wellness Chiropractic PC enrolled in Medicare?

Yes. Envision Wellness Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Envision Wellness Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Envision Wellness Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Envision Wellness Chiropractic PC was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.