Organization Active NPI

Haven Chiropractic, PC

  • Orthopedic Chiropractor
  • Jackson Heights, NY
National Provider Identifier
1073536058
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
X007296 Issued in NY
Legal business name
HAVEN CHIROPRACTIC, PC
Practice address
3743 76TH St
Suite 3
Jackson Heights, NY 11372-6533
Phone
(347) 448-5185
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Gregory Emanuel Buzzell, DC
Title
President
Phone
(347) 448-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X X007296 NY Primary

Addresses

Primary practice location

3743 76TH St
Suite 3
Jackson Heights, NY 11372-6533

Mailing address

3743 76TH St
Suite 3
Jackson Heights, NY 11372-6533
Phone (347) 448-5185

National Provider Directory

National Provider Directory

Locations

3743 76th St
Ste 3
Jackson Heights, NY 11372
Phone (347) 448-5185

3743 76th St
#3
Jackson Heights, NY 11372
Phone (347) 448-5185

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1073536058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 76TH ST",
            "address_2": "SUITE 3",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726533",
            "telephone_number": "347-448-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 76TH ST",
            "address_2": "SUITE 3",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726533",
            "telephone_number": "347-448-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "BUZZELL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-448-5185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X007296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.