PORT JEFFERSON CHIROPRACTIC OFFICE PC
NPI 1174820120
Chiropractor in Setauket, NY

Active since February 26, 2011
416 ROUTE 25A, SETAUKET, NY 11733(631) 751-7700(631) 751-7096 Get Directions Write a Review

NPPES record last updated: February 26, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Port Jefferson Chiropractic Office Pc NPPES

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

PORT JEFFERSON CHIROPRACTIC OFFICE PC (NPI 1174820120) is a healthcare organization registered as a chiropractor in Setauket, New York and active in the NPI registry since February 2011. The organization lists Michael Horney, Sole Owner Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1174820120
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePORT JEFFERSON CHIROPRACTIC OFFICE PC
Location Address416 ROUTE 25ASetauket, NY 11733-3841
Mailing Address416 Route 25aSetauket, NY 11733-3841 · (631) 751-7700 · Fax (631) 751-7096
Fax(631) 751-7096
Organization SubpartNo
Authorized OfficialMichael HorneySole Owner Of Corporation · (631) 751-7700
Enumeration DateFebruary 26, 2011
✔ NPI 1174820120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X002824
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.
416 ROUTE 25A, Setauket, NY 11733

Other Identifiers 2

Medicare UPINT52353NY
Medicaid01738370NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Chiropractic
NPI 1053310912
416 MAIN ST
Setauket, NY 11733
(631) 751-7700
✔ 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 Port Jefferson Chiropractic Office PC's NPI number?

The NPI number for Port Jefferson Chiropractic Office PC is 1174820120. It was assigned to this organization in the NPPES registry on February 26, 2011.

Where is Port Jefferson Chiropractic Office PC located?

Port Jefferson Chiropractic Office PC is located at 416 Route 25A, Setauket, NY 11733. The listed phone number is (631) 751-7700.

What is Port Jefferson Chiropractic Office PC's specialty?

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

Is Port Jefferson Chiropractic Office PC enrolled in Medicare?

Yes. Port Jefferson Chiropractic Office PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Jefferson Chiropractic Office PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Port Jefferson Chiropractic Office 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 Port Jefferson Chiropractic Office PC was last updated on February 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.