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STEPHEN PRUDEN DC LLC
NPI 1215032719
Chiropractor in Roslyn, NY

Active since September 13, 2006
55 BRYANT AVE, 2ND FLOOR, ROSLYN, NY 11576(516) 626-3965(516) 625-7701 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephen Pruden Dc Llc NPPES

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

STEPHEN PRUDEN DC LLC (NPI 1215032719) is a healthcare organization registered as a chiropractor in Roslyn, New York and active in the NPI registry since September 2006. The organization lists Stephen Joseph Pruden, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1215032719
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTEPHEN PRUDEN DC LLC
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
Organization SubpartNo
Authorized OfficialStephen Joseph PrudenChiropractor · (516) 626-3965
Enumeration DateSeptember 13, 2006
Last NPPES UpdateOctober 17, 2007
✔ NPI 1215032719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X004234-1
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
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Other Identifiers 1

Medicare UPINT32069

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)

Stephen Pruden Dc Llc 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 Stephen Pruden Dc LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Pruden, DC
Chiropractic
NPI 1144236019
55 BRYANT AVE 2ND FLOOR
Roslyn, NY 11576
(516) 626-3965
Same 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 Stephen Pruden Dc LLC's NPI number?

The NPI number for Stephen Pruden Dc LLC is 1215032719. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Stephen Pruden Dc LLC located?

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

What is Stephen Pruden Dc LLC's specialty?

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

Is Stephen Pruden Dc LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Stephen Pruden Dc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Stephen Pruden Dc LLC. 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 Stephen Pruden Dc LLC was last updated on October 17, 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.