ISLIP CHIROPRACTIC PC
NPI 1114271756
Chiropractor in East Islip, NY

Active since November 05, 2012
99 E MAIN ST, SUITE 2, EAST ISLIP, NY 11730(631) 647-8324(631) 647-8324 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Islip Chiropractic Pc NPPES

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

ISLIP CHIROPRACTIC PC (NPI 1114271756) is a healthcare organization registered as a chiropractor in East Islip, New York and active in the NPI registry since November 2012. The organization lists Laura Bowen, Owner, as its authorized official.

NPPES Registry Identity

NPI1114271756
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameISLIP CHIROPRACTIC PC
Location Address99 E MAIN ST, SUITE 2East Islip, NY 11730-2538
Mailing AddressPo Box 27Islip, NY 11751-0027 · (631) 647-8324 · Fax (631) 647-8324
Fax(631) 647-8324
Organization SubpartNo
Authorized OfficialLaura BowenOwner · (631) 647-8324
Enumeration DateNovember 5, 2012
Last NPPES UpdateJanuary 19, 2016
✔ NPI 1114271756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 010865
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 E MAIN ST, East Islip, NY 11730

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20130112000066Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Islip Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1649316134
99 E MAIN ST SUITE 2
East Islip, NY 11730
(631) 647-8324
✔ Accepts MedicareSame address

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 Islip Chiropractic PC's NPI number?

The NPI number for Islip Chiropractic PC is 1114271756. It was assigned to this organization in the NPPES registry on November 5, 2012.

Where is Islip Chiropractic PC located?

Islip Chiropractic PC is located at 99 E Main St Suite 2, East Islip, NY 11730. The listed phone number is (631) 647-8324.

What is Islip Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Islip Chiropractic PC enrolled in Medicare?

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

When is Islip Chiropractic PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Islip Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Islip 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Islip Chiropractic PC was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.