SOUTH SHORE CHIROPRACTIC PC
NPI 1265580765
Chiropractor in Staten Island, NY

Active since January 08, 2007
321 EDISON ST, STATEN ISLAND, NY 10306(718) 967-4646(718) 966-4382 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, May 4, 2022 (2 updates tracked since 2022).

About South Shore Chiropractic Pc NPPES

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

SOUTH SHORE CHIROPRACTIC PC (NPI 1265580765) is a healthcare organization registered as a chiropractor in Staten Island, New York and active in the NPI registry since January 2007. The organization lists Joseph A Brogna, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1265580765
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTH SHORE CHIROPRACTIC PC
Location Address321 EDISON STStaten Island, NY 10306-3023
Mailing Address321 Edison StStaten Island, NY 10306-3023 · (718) 967-4646 · Fax (718) 966-4382
Fax(718) 966-4382
Organization SubpartNo
Authorized OfficialJoseph A BrognaChiropractor · (718) 967-4646
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1265580765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X007666
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.
321 EDISON ST, Staten Island, NY 10306

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)

South Shore Chiropractic 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 South Shore Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1427073782
639 SINCLAIR AVE
Staten Island, NY 10312
(718) 967-4646
✔ Accepts Medicare5.0 mi

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 South Shore Chiropractic PC's NPI number?

The NPI number for South Shore Chiropractic PC is 1265580765. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is South Shore Chiropractic PC located?

South Shore Chiropractic PC is located at 321 Edison St, Staten Island, NY 10306. The listed phone number is (718) 967-4646.

What is South Shore Chiropractic PC's specialty?

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

Is South Shore Chiropractic PC enrolled in Medicare?

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

How many clinicians bill Medicare through South Shore Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to South Shore 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 South Shore Chiropractic PC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.