Port Jeff Specific Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008311 Issued in NY

Legal business name

PORT JEFF SPECIFIC CHIROPRACTIC

Practice address

29 Miller Woods Dr
Miller Place, NY 11764-1524

Phone

(631) 473-7330

Fax

(631) 642-9242

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James V Masone, DC

Title

President

Phone

(631) 476-7330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114001120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5140",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641104",
            "telephone_number": "631-473-7330",
            "fax_number": "631-642-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MILLER WOODS DR",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641524",
            "telephone_number": "631-473-7330",
            "fax_number": "631-642-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JEFF SPECIFIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-476-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pinto, RD
• Platinum Family Medicine P.C.
• Janelle Amber Polanco, RDN
• Samantha Polistina
• Karen Ann Polizzano, M.A., CCC-SLP, TSSLD
• Port Jefferson Medical Wellness PLLC (Messi Medical Wellness)
• Eric Todd Posner, M.D.
• Nicole Pranzo
• Primary Care Family Doctor P.C. (Primary Care Family Doctors)
• Pro Care Imaging, Inc.

• Chiropractor in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.