Organization Active NPI

Chiropractic Wellnes of Fidi Nyc, PC

  • Chiropractor
  • New York, NY
National Provider Identifier
1124563192
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006013 Issued in NY
Legal business name
CHIROPRACTIC WELLNES OF FIDI NYC, PC
Practice address
64 Fulton St
Suite 303
New York, NY 10038-1854
Phone
(212) 964-6000
Fax
(212) 566-7433
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Dr. Jay Chait, DC
Title
Ceo
Phone
(212) 964-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X006013 NY Primary

Addresses

Primary practice location

64 Fulton St
Suite 303
New York, NY 10038-1854

Mailing address

64 Fulton St
Suite 303
New York, NY 10038-1854
Phone (212) 964-6000

National Provider Directory

National Provider Directory

Locations

64 Fulton St
Rm 303
New York, NY 10038
Phone (646) 526-8887

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1124563192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 FULTON ST",
            "address_2": "SUITE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381854",
            "telephone_number": "212-964-6000",
            "fax_number": "212-566-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 FULTON ST",
            "address_2": "SUITE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381854",
            "telephone_number": "212-964-6000",
            "fax_number": "212-566-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNES OF FIDI NYC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "CHAIT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-964-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006013",
            "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 Dec 30, 2016; 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.