Active NPI
Susann Jones
- Chiropractor
- Woodside, NY
National Provider Identifier
1003954702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X003480-1
- Practice address
- 3965 52ND St
Woodside, NY 11377-3254 - Phone
- (718) 565-6833
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X003480-1 | NY | Primary |
Addresses
Primary practice location
3965 52ND St
Woodside, NY 11377-3254
Mailing address
3965 52ND Street
Woodside, NY 11377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X003480-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fira Nihamin Physician PC | Past | Accepting new patients | |
| Fleetwood Medical Care PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Woodside, NY
- NPI 1083920805
-
- Internal Medicine Physician
- Mount Vernon, NY
- NPI 1134897028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1003954702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 52ND STREET",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "11377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 52ND ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773254",
"telephone_number": "718-565-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SUSANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X003480-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.