Individual provider Active NPI

Jason Thomas Stryjewski, D.C.

  • Chiropractor
  • Southbury, CT
National Provider Identifier
1114279288
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1968 Issued in CT
Practice address
800 Main St S Ste 112
Southbury, CT 06488-4210
Phone
(203) 533-9677
NPI assigned
Oct 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1968 CT Primary

Addresses

Primary practice location

800 Main St S Ste 112
Southbury, CT 06488-4210

Mailing address

800 Main St S # 112
Southbury, CT 06488-4210
Phone (203) 533-9677

Other practice location 1

14 Old Sawmill Dr
Beacon Falls, CT 06403-1252
Phone (203) 206-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922000060 CT Practitioner - Chiropractic 5294958419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher E Dembski DC Chiropractic Physician PCGroup PAC ID 9931117355, 4 clinicians

Practice addresses (Care Compare)

760 Main St S
Suite E
Southbury, CT 06488-4248
Phone (203) 267-3880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1968CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Back Center Chiropractor CurrentSince May 26, 2017 Accepting new patients
Christopher E. Dembski, D.C., Chiropractic Physician P.C. Chiropractor CurrentSince Apr 1, 2021 Accepting new patients

Locations

760 Main St S
Ste E
Southbury, CT 06488
Phone (203) 267-3880

200 Queen St
Southington, CT 06489
Phone (860) 621-2225

Organizations & group practices 2

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": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1114279288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST S # 112",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884210",
            "telephone_number": "203-533-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST S STE 112",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884210",
            "telephone_number": "203-533-9677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Old Sawmill Dr",
            "address_purpose": "LOCATION",
            "city": "Beacon Falls",
            "state": "CT",
            "postal_code": "064031252",
            "country_code": "US",
            "telephone_number": "203-206-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRYJEWSKI",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-12",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.