ISLAND FAMILY CHIROPRACTIC WELLNESS PLLC
NPI 1861823577
Chiropractor in Kingston, NY

Q: What is Island Family Chiropractic Wellness PLLC's specialty?

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

Active since December 05, 2013

400 KINGS MALL CT, KINGSTON, NY 12401(846) 663-8299 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Island Family Chiropractic Wellness Pllc NPPES

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

ISLAND FAMILY CHIROPRACTIC WELLNESS PLLC (NPI 1861823577) is a healthcare organization registered as a chiropractor in Kingston, New York and active in the NPI registry since December 2013. The organization lists Glenn M. Gibson, Owner, as its authorized official.

NPPES Registry Identity

NPI1861823577

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameISLAND FAMILY CHIROPRACTIC WELLNESS PLLC

Location Address400 KINGS MALL CTKingston, NY 12401-1578

Mailing Address62 Clover StWest Hurley, NY 12491-6019 · (845) 663-8299

Phone(846) 663-8299

Organization SubpartNo

Authorized OfficialGlenn M. GibsonOwner · (845) 663-8299

Enumeration DateDecember 5, 2013

Last NPPES UpdateDecember 2, 2022

NPPES CertifiedDecember 2, 2022

✔ NPI 1861823577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

400 KINGS MALL CT, Kingston, NY 12401

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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)

Island Family Chiropractic Wellness Pllc 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 Island Family Chiropractic Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Glenn Gibson, D.C.

Chiropractic

NPI 1619308954

400 KINGS MALL CT
Kingston, NY 12401

(846) 663-8299

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 Island Family Chiropractic Wellness PLLC's NPI number?

The NPI number for Island Family Chiropractic Wellness PLLC is 1861823577. It was assigned to this organization in the NPPES registry on December 5, 2013.

Where is Island Family Chiropractic Wellness PLLC located?

Island Family Chiropractic Wellness PLLC is located at 400 Kings Mall Ct, Kingston, NY 12401. The listed phone number is (846) 663-8299.

What is Island Family Chiropractic Wellness PLLC's specialty?

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

Is Island Family Chiropractic Wellness PLLC enrolled in Medicare?

Yes. Island Family Chiropractic Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Family Chiropractic Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Island Family Chiropractic Wellness PLLC. 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 Island Family Chiropractic Wellness PLLC was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.