Dr. Jay Rosa, Chiropractor, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CHIR008582 Issued in GA

Legal business name

DR. JAY ROSA, CHIROPRACTOR, LLC

Doing business as

Dr. Jay Rosa, Chiropractor

Practice address

76 Highland Pavilion CT
Hiram, GA 30141-3169

Phone

(770) 439-6997

Fax

(636) 707-9772

NPI assigned

Aug 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Efmam Jay Rosa, DC

Title

Owner

Phone

(770) 837-5609

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jay Rosa, Chiropractor Doing business as

Locations

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1104105733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGHLAND PAVILION CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413169",
            "telephone_number": "770-439-6997",
            "fax_number": "636-707-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGHLAND PAVILION CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413169",
            "telephone_number": "770-439-6997",
            "fax_number": "636-707-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAY ROSA, CHIROPRACTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-14",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "EFMAM",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-837-5609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR008582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jay Rosa, Chiropractor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Dolgoff, M.D.
• James Robert Donley, OTRL
• Precious Douse
• Tara Dozier
• Dr Baley Chiropractic, LLC
• Nayana Christine Dubier, DDS
• Aliaksandr Dzmitryieu, M.D.
• Jessica Ebong, PA-C
• Anahid A Ebrahimi, PA-C
• Ijeoma Genevieve Eccles-James, MSC, MD

• Clinic/Center in Hiram, GA
• Providers in Hiram, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.