Dr. Edward Beller, D.C.
Chiropractor, Rehabilitation in Patchogue, NY. Individual provider (NPI-1).
NPI number1114003993
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1114003993
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Beller
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | X1983 | NY | Yes |
Practice location
268 Medford AvePatchogue, NY 11772-1221
Phone 631-654-2929 · Fax 631-654-0217
Mailing address
268 Medford AvePatchogue, NY 11772-1221
Phone 631-654-2929 · Fax 631-654-0217
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