Individual provider Active NPI

Jasmine Bhoola, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1154956985
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013572 Issued in NY
Practice address
7 W 36TH St Ste 401
New York, NY 10018-7911
Phone
(646) 478-8700
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00772600 NJ
Acupuncturist 171100000X 007071 NY
Chiropractor 111N00000X 013572 NY Primary

Addresses

Primary practice location

7 W 36TH St Ste 401
New York, NY 10018-7911

Mailing address

1041 Balmoral Way
Maple Glen, PA 19002-1623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803003266 NY Practitioner - Chiropractic 7012333420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Duggan Chiropractic PLLCGroup PAC ID 9739575333, 3 clinicians

Practice addresses (Care Compare)

7 W 36TH St
Suite 402
New York, NY 10018-7911
Phone (646) 478-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00772600NJMDChiropractor
007071NYMDAcupuncturist
013572NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fuel Physical Therapy & Chiropractic PLLC Chiropractor CurrentSince Jul 13, 2023 Accepting new patients
Duggan Chiropractic PLLC Chiropractor CurrentSince Jul 21, 2023 Accepting new patients
Davis Square Chiropractic, PC Chiropractor PastSince Mar 1, 2020 Accepting new patients
North American Partners in Pain Management New Jersey LLC PastSince Jul 1, 2020 Accepting new patients
Active PT Home Care PastSince Jul 1, 2020 Accepting new patients
RPM Physical Therapy PLLC PastSince Feb 1, 2022 Accepting new patients

Locations

7 W 36th St
Ste 401
New York, NY 10018
Phone (646) 478-8700

7 W 36th St
Ste 402
New York, NY 10018
Phone (646) 478-8700

Organizations & group practices 6

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1154956985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BALMORAL WAY",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190021623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 36TH ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187911",
            "telephone_number": "646-478-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOOLA",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00772600",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007071",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013572",
            "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 Aug 9, 2023; 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.