Individual provider Active NPI

Raymond I Jaghab, DC

  • Chiropractor
  • West Hempstead, NY
National Provider Identifier
1154446540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004940-1 Issued in NY
Practice address
300 Hempstead Tpke
West Hempstead, NY 11552-1450
Phone
(516) 481-3091
Fax
(516) 481-0269
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004940-1 NY Primary

Addresses

Primary practice location

300 Hempstead Tpke
West Hempstead, NY 11552-1450

Mailing address

8 Ryder CT
Dix Hills, NY 11746-6142
Phone (631) 586-2731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120831000586 NY Practitioner - Chiropractic 7810144516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Hempstead Tke
West Hempstead, NY 11552
Phone (516) 481-3091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004940-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Hempstead Neck & Spinal Chiropractic Office, P.C. Chiropractor CurrentSince Jul 13, 1995 Accepting new patients
SMB Medical, P.C. PastSince Aug 31, 2012 Accepting new patients

Locations

300 Hempstead Tpke
Unit 7
West Hempstead, NY 11552

300 Hempstead Tpke
West Hempstead, NY 11552
Phone (516) 481-3091

300 Hempstead Ave
West Hempstead, NY 11552
Phone (516) 481-3091

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154446540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RYDER CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466142",
            "telephone_number": "631-586-2731",
            "fax_number": "516-481-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEMPSTEAD TPKE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521450",
            "telephone_number": "516-481-3091",
            "fax_number": "516-481-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGHAB",
        "first_name": "RAYMOND",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004940-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.