DR. STEPHEN JOSEPH PRUDEN DC
NPI 1144236019
Chiropractor in Roslyn, NY

Q: What is Stephen Pruden's NPI number?

The NPI number for Stephen Pruden is 1144236019. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Stephen Pruden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephen Pruden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 31, 2006

55 BRYANT AVE, 2ND FLOOR, ROSLYN, NY 11576(516) 626-3965(516) 625-7701 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Stephen Joseph Pruden Dc NPPES

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

DR. STEPHEN JOSEPH PRUDEN DC (NPI 1144236019) is an individual chiropractor in Roslyn, New York, licensed in New York (X4234-1) and active in the NPI registry since July 2006. He is a graduate of Other (1984).

NPPES Registry Identity

NPI1144236019

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. STEPHEN JOSEPH PRUDENCredential: DC

Location Address55 BRYANT AVE, 2ND FLOORRoslyn, NY 11576-1137

Mailing Address55 Bryant Ave, 2nd FloorRoslyn, NY 11576-1137 · (516) 626-3965 · Fax (516) 625-7701

Phone(516) 626-3965

Fax(516) 625-7701

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1144236019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · X4234-1

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.

55 BRYANT AVE, Roslyn, NY 11576

Open in Google Maps ↗

Other Identifiers 2

OtherX4234-1NY · State License

Medicare UPINT32069NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Joseph Pruden Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204842339

PECOS Enrollment IDI20060228000187

Medicare Billing Reassignment

Medicare enrollment records show Stephen Pruden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stephen Pruden Dc LLC

Same address

Chiropractor

55 BRYANT AVE, 2ND FLOOR
Roslyn, NY 11576

Reassigned Medicare billing, New York enrollment

NPI 1215032719 (516) 626-3965

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

910 services150 patients

Chiropractic manipulative treatment, 5 spinal regions 98942

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.

117 services11 patients

Other Providers at the Same Location NPPES 11

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

OLD BROOKVILLE PHYSICAL THERAPY & SPORTS REHABILITATION, P.C.

Physical Therapist

55 BRYANT AVE, 2ND FLOOR
ROSLYN, NY 11576

Nassau County (516) 554-7165

MARK THOMAS

Physical Therapist

55 BRYANT AVE
ROSLYN, NY 11576

Nassau County (516) 484-9775

MR. FREDRIC JOEL SCHWARTZ P.T.

Physical Therapist

55 BRYANT AVE, 2ND FLOOR
ROSLYN, NY 11576

Nassau County (516) 554-7165

STEPHEN PRUDEN DC LLC

Chiropractor

55 BRYANT AVE, 2ND FLOOR
ROSLYN, NY 11576

Nassau County (516) 626-3965

DR. PERRY S PERZOV DDS, FAGD

Dentist (General Practice)

55 BRYANT AVE, SUITE 5
ROSLYN, NY 11576

Nassau County (516) 621-7566

JOSHUA SCOTT SHAPIRO

Physical Therapist (Orthopedic)

55 BRYANT AVE
ROSLYN, NY 11576

Nassau County (516) 484-9775

MR. STEPHEN A WILEY DPT

Physical Therapist

55 BRYANT AVE, 2ND FLOOR
ROSLYN, NY 11576

Nassau County (516) 484-9775

GOLD COAST ORAL & MAXILLOFACIAL SURGERY PC

Clinic/Center (Oral and Maxillofacial Surgery)

55 BRYANT AVE
ROSLYN, NY 11576

Nassau County (516) 749-3000

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 Stephen Pruden's NPI number?

The NPI number for Stephen Pruden is 1144236019. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Stephen Pruden located?

Stephen Pruden practices at 55 Bryant Ave 2nd Floor, Roslyn, NY 11576. The listed phone number is (516) 626-3965.

What is Stephen Pruden's specialty?

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

Is Stephen Pruden enrolled in Medicare?

Yes. Stephen Pruden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Pruden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Pruden reassigns Medicare benefits to Stephen Pruden Dc LLC (Roslyn, 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 Stephen Pruden'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 Stephen Pruden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.