Adam Musa Al-Haraizeh, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013806 Issued in NY

Practice address

530 Walker Valley Rd
Pine Bush, NY 12566-4911

Phone

(845) 271-8998

NPI assigned

May 17, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Clinic of Ma PC

  • Chiropractor
  • Chestnut Hill, MA
  • NPI 1225568975
  Medicare reassignment NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1043901382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WALKER VALLEY RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125664911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WALKER VALLEY RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125664911",
            "telephone_number": "845-271-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HARAIZEH",
        "first_name": "ADAM",
        "middle_name": "MUSA",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2282",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Pain Relief Therapies, Inc.
• Allyson Havill PHD
• Imtiaz Aslam, RPH
• Jennifer M Bagley, M.S. ED.
• Jane Brady-McKane
• Damon Thomas Brecheisen, BC-HIS

• All providers in Pine Bush, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.