Jamestown Spine, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JAMESTOWN SPINE, LLC

Practice address

1719 Foote Avenue Ext
Jamestown, NY 14701-9385

Phone

(716) 483-6800

Fax

(716) 487-2796

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Alex Vincent Ognibene, DCNPI 1881051555

Title

Owner/Member

Phone

(716) 483-6800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Alex V Ognibene, D.C.

  • Chiropractor
  • Madison, WI
  • NPI 1881051555

  NY

  Medicare reassignment NPD Authorized official
• Stephen Thomas Gordon, D.C.

  • Chiropractor
  • Jamestown, NY
  • NPI 1528388956
  NPD (past)
• Frank J Racitano, DC

  • Chiropractor
  • Jamestown, NY
  • NPI 1891879037
  NPD (past)
• Sheila Marie Barnett, RDH, DC

  • Chiropractor
  • Bullhead City, AZ
  • NPI 1598753402
  NPD (past)
• Andrew C Green, D.C.

  • Chiropractor
  • Clemmons, NC
  • NPI 1578890356
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1073075271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 FOOTE AVENUE EXT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019385",
            "telephone_number": "716-483-6800",
            "fax_number": "716-487-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 FOOTE AVENUE EXT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019385",
            "telephone_number": "716-483-6800",
            "fax_number": "716-487-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "OGNIBENE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "716-483-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamestown Optometric Group, PC
• Jamestown Pediatric Associates, LLP
• Jamestown Physician Services of Ny PC
• Jamestown Primary Care LLP
• Jamestown Psychiatric PC
• Jamestown Transport & Rental Services Inc
• Jennifer M Janocha, PHYSICIAN ASSISTANT
• Amy Jaquith
• Hannah Jaroszynski
• Jeffrey D Menoff DDS PC

• Chiropractor in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.