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PORT JEFF STATION CHIROPRACTIC
NPI 1891838538
Clinic/Center in Port Jefferson Station, NY

Active since February 14, 2007
1041 ROUT 112, PORT JEFFERSON STATION, NY 11776(631) 828-4545(631) 642-1070 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2019, Dec 18, 2018, Dec 11, 2018 (3 updates tracked since 2018).

About Port Jeff Station Chiropractic NPPES

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

PORT JEFF STATION CHIROPRACTIC (NPI 1891838538) is a healthcare organization registered as a clinic/center in Port Jefferson Station, New York and active in the NPI registry since February 2007. The organization lists Gregory N. Bonasera, Member, as its authorized official.

NPPES Registry Identity

NPI1891838538
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHIROPRACTIC OF STONY BROOK PLLC
Location Address1041 ROUT 112Port Jefferson Station, NY 11776
Mailing Address1041 Route 112Port Jefferson Station, NY 11776-6000 · (631) 828-4545 · Fax (631) 642-1070
Phone(631) 828-4545
Fax(631) 642-1070
Organization SubpartNo
Authorized OfficialGregory N. BonaseraMember · (631) 828-4545
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJanuary 22, 20193 updates tracked since enumeration
✔ NPI 1891838538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · X005301-1
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedChiropractorTaxonomy 111N00000X
1041 ROUT 112, Port Jefferson Station, NY 11776
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Other Names 1

Doing Business AsPort Jeff Station Chiropractic

Other Identifiers 1

Medicaid01738361NY

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)

Port Jeff Station Chiropractic 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 Port Jeff Station Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Bonasera, DC
Chiropractic
NPI 1841374352
1041 ROUTE 112
Port Jefferson Station, NY 11776
(631) 828-4545
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 Chiropractic Of Stony Brook PLLC's NPI number?

The NPI number for Chiropractic Of Stony Brook PLLC is 1891838538. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is doing business as Port Jeff Station Chiropractic.

Where is Chiropractic Of Stony Brook PLLC located?

Chiropractic Of Stony Brook PLLC is located at 1041 Rout 112, Port Jefferson Station, NY 11776. The listed phone number is (631) 828-4545.

What is Chiropractic Of Stony Brook PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Chiropractic Of Stony Brook PLLC enrolled in Medicare?

Yes. Chiropractic Of Stony Brook PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chiropractic Of Stony Brook PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chiropractic Of Stony Brook 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 Chiropractic Of Stony Brook PLLC was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.