Active NPI
Haven Chiropractic, PC
- Orthopedic Chiropractor
- Jackson Heights, NY
National Provider Identifier
1073536058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- X007296
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 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 DirectoryLocations
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.