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ISLAND SOUTH CHIROPRACTIC PC
NPI 1639208200
Chiropractor in Staten Island, NY

Active since March 02, 2007
91 FOSTER RD, STATEN ISLAND, NY 10309(718) 966-7000(718) 317-7452 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Island South Chiropractic Pc NPPES

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

ISLAND SOUTH CHIROPRACTIC PC (NPI 1639208200) is a healthcare organization registered as a chiropractor in Staten Island, New York and active in the NPI registry since March 2007. The organization lists Justin L Bergin, Owner, as its authorized official.

NPPES Registry Identity

NPI1639208200
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameISLAND SOUTH CHIROPRACTIC PC
Location Address91 FOSTER RDStaten Island, NY 10309
Mailing Address91 Foster RdStaten Island, NY 10309 · (718) 966-7000 · Fax (718) 317-7452
Phone(718) 966-7000
Fax(718) 317-7452
Organization SubpartNo
Authorized OfficialJustin L BerginOwner · (718) 966-7000
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639208200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X010715NY
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.
91 FOSTER RD, Staten Island, NY 10309
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Other Identifiers 3

OtherP2952873NJ · Oxford
Other7929464NY · Aetna
OtherP2952873NY · Oxford

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ISLAND ACTIVE RELEASE AND SPORTS CHIROPRACTIC
Chiropractor
91 FOSTER RD
STATEN ISLAND, NY 10309
Richmond County (917) 755-7088

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 Island South Chiropractic PC's NPI number?

The NPI number for Island South Chiropractic PC is 1639208200. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Island South Chiropractic PC located?

Island South Chiropractic PC is located at 91 Foster Rd, Staten Island, NY 10309. The listed phone number is (718) 966-7000.

What is Island South Chiropractic PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Island South Chiropractic PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.