Individual provider Active NPI

Anish B Bajaj, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1073647152
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010010-1 Issued in NY
Practice address
304 Park Ave South
6TH Floor
New York, NY 10010
Phone
(212) 213-6155
Fax
(212) 213-6188
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010010-1 NY Primary

Addresses

Primary practice location

304 Park Ave South
6TH Floor
New York, NY 10010

Mailing address

1794 3Rd Ave
Apt 2C
New York, NY 10029
Phone (917) 545-1962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151211000450 NY Practitioner - Chiropractic 0840591186 Reassigns benefits to 1 organization
I20240404000508 NJ Practitioner - Chiropractic 0840591186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010010-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Rooted Health, LLC CurrentSince Feb 12, 2024 Accepting new patients
Bajaj Chiropractic, P.C. Chiropractor CurrentSince Oct 3, 2015 Accepting new patients
Place for Achieving Total Health Past Accepting new patients
Rethink Physical Therapy, PLLC PastSince Jul 9, 2023 Accepting new patients

Locations

189 Elm St
Westfield, NJ 07090
Phone (908) 233-5500

16 Madison Sq W
Fl 11
New York, NY 10010
Phone (212) 655-5802

304 Park Ave S
Fl 6
New York, NY 10010
Phone (212) 213-6155

95 New Dorp Plz N
Staten Island, NY 10306
Phone (732) 859-5977

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073647152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 3RD AVE",
            "address_2": "APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "917-545-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PARK AVE SOUTH",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-213-6155",
            "fax_number": "212-213-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "ANISH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010010-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.