DR. JEROAN W DALLY DC
NPI 1093688996
Chiropractor in Hempstead, NY
About Dr. Jeroan W Dally Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEROAN W DALLY DC (NPI 1093688996) is an individual chiropractor in Hempstead, New York, licensed in New York (014006) and active in the NPI registry since September 2025. He is a graduate of New York Chiropractic College (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeroan W Dally Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jeroan Dally reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Melville, NY 11747
- Reassigned Medicare billing, New York enrollment
- 16 clinicians in this Medicare group
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 Jeroan Dally's NPI number?
The NPI number for Jeroan Dally is 1093688996. It was assigned to this individual provider in the NPPES registry on September 26, 2025.
Where is Jeroan Dally located?
Jeroan Dally practices at 173 Weir St, Hempstead, NY 11550. The listed phone number is (917) 325-1323.
What is Jeroan Dally's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jeroan Dally enrolled in Medicare?
Yes. Jeroan Dally is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jeroan Dally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeroan Dally reassigns Medicare benefits to Suffolk Physical Therapy & Chiropractic, PLLC (Melville, NY). The 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 Jeroan Dally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeroan Dally was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Jeroan W Dally, DC · NPI 1093688996
Chiropractor provider in Hempstead, New York. Individual provider, active in the CMS NPPES registry since September 26, 2025.
## Identity
- **NPI:** 1093688996 (Entity type: Individual)
- **Enumerated:** September 26, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 014006 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 173 WEIR ST, Hempstead, NY 11550-7629
- **Phone:** (917) 325-1323
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Suffolk Physical Therapy & Chiropractic, PLLC (NPI 1417564253, Melville, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Chiropractic College, class of 2025
## Record status
- **NPPES last updated:** September 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093688996) · Data from the CMS NPPES public registry.