Individual provider Active NPI

Jason Todd Birnhak, DC

  • Chiropractor
  • North Baldwin, NY
National Provider Identifier
1114003662
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
XOO8482 Issued in NY
Practice address
2136 Grand Ave
North Baldwin, NY 11510-2949
Phone
(516) 223-7533
Fax
(516) 223-7534
NPI assigned
Oct 27, 2006
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X XOO8482 NY Primary

Addresses

Primary practice location

2136 Grand Ave
North Baldwin, NY 11510-2949

Mailing address

2136 Grand Ave
North Baldwin, NY 11510-2949
Phone (516) 223-7533

Other identifiers 1

IdentifierTypeStateIssuer
CO8482-4BOtherNYWORKERS COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XOO8482NYMDChiropractor
008482NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CHG Medical Care PC PastSince Aug 1, 2020 Accepting new patients
Queens Rehabilitation & Diagnostics Past Accepting new patients
Neurological Services of Queens, P.C. Past Accepting new patients
CHC Chiropractic PC Chiropractor PastSince Oct 1, 2017 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1114003662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102949",
            "telephone_number": "516-223-7533",
            "fax_number": "516-223-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102949",
            "telephone_number": "516-223-7533",
            "fax_number": "516-223-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNHAK",
        "first_name": "JASON",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XOO8482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "CO8482-4B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.