Organization Active NPI

Fred Jones Chiropractor P.C.

  • Chiropractor
  • Merrick, NY
National Provider Identifier
1003064692
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FRED JONES CHIROPRACTOR P.C.
Practice address
2260 Hewlett Ave
Merrick, NY 11566-3951
Phone
(516) 378-0404
Fax
(516) 377-3833
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Fred Joseph Jones Jr., D.C.NPI 1619037140
Title
Owner
Phone
(516) 378-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2260 Hewlett Ave
Merrick, NY 11566-3951

Mailing address

2260 Hewlett Ave
Merrick, NY 11566-3951
Phone (516) 378-0404

Other names 1

  • Sunrise Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000591 NY Part B Supplier - Clinic/Group Practice 4587731021 Receives reassigned benefits from 1 practitioner
Practice locations: Merrick, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1003064692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 HEWLETT AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663951",
            "telephone_number": "516-378-0404",
            "fax_number": "516-377-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 HEWLETT AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663951",
            "telephone_number": "516-378-0404",
            "fax_number": "516-377-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED JONES CHIROPRACTOR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-378-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.