EAST PARK CHIROPRACTIC WELLNESS PC
NPI 1700451093
Chiropractor in Long Beach, NY
About East Park Chiropractic Wellness Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST PARK CHIROPRACTIC WELLNESS PC (NPI 1700451093) is a healthcare organization registered as a chiropractor in Long Beach, New York and active in the NPI registry since May 2021. The organization lists Charles Drake, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Park Chiropractic Wellness 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 East Park Chiropractic Wellness PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 East Park Chiropractic Wellness PC's NPI number?
The NPI number for East Park Chiropractic Wellness PC is 1700451093. It was assigned to this organization in the NPPES registry on May 20, 2021.
Where is East Park Chiropractic Wellness PC located?
East Park Chiropractic Wellness PC is located at 714 E Park Ave, Long Beach, NY 11561. The listed phone number is (516) 431-7972.
What is East Park Chiropractic Wellness PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is East Park Chiropractic Wellness PC enrolled in Medicare?
Yes. East Park Chiropractic Wellness PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Park Chiropractic Wellness PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to East Park Chiropractic Wellness 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 East Park Chiropractic Wellness PC was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# East Park Chiropractic Wellness Pc · NPI 1700451093
Chiropractor organization in Long Beach, New York. Organization record, active in the CMS NPPES registry since May 20, 2021.
## Identity
- **NPI:** 1700451093 (Entity type: Organization)
- **Enumerated:** May 20, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Charles Drake, PRESIDENT
## Practice location
- **Address:** 714 E PARK AVE, Long Beach, NY 11561-2605
- **Phone:** (516) 431-7972
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700451093) · Data from the CMS NPPES public registry.