Back to Back Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2166 Issued in NJ

Legal business name

BACK TO BACK WELLNESS

Practice address

115 W 86TH St
Suite 1CC
New York, NY 10024-3410

Phone

(212) 496-6809

Fax

(212) 496-6889

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery A Osterman, DC

Title

Operator

Phone

(212) 496-6809

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1023475266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 86TH ST",
            "address_2": "SUITE 1CC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243410",
            "telephone_number": "212-496-6809",
            "fax_number": "212-496-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 86TH ST",
            "address_2": "SUITE 1CC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243410",
            "telephone_number": "212-496-6809",
            "fax_number": "212-496-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BACK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "OSTERMAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "212-496-6809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2166",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002912",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.