NPIMap

Organization Active NPI

Steven Jellen DC, PC

  • Chiropractor
  • Levittown, NY
National Provider Identifier
1174796841
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008203 Issued in NY
Legal business name
STEVEN JELLEN DC, PC
Practice address
64 Division Ave
Suite 102
Levittown, NY 11756-2999
Phone
(516) 579-5602
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Steven Thomas Jellen, DCNPI 1780786475
Title
President
Phone
(516) 579-5602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 008203 NY Primary

Addresses

Primary practice location

64 Division Ave
Suite 102
Levittown, NY 11756-2999

Mailing address

64 Division Ave
Suite 102
Levittown, NY 11756-2999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1174796841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 DIVISION AVE",
            "address_2": "SUITE 102",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 DIVISION AVE",
            "address_2": "SUITE 102",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562999",
            "telephone_number": "516-579-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN JELLEN DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "JELLEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-579-5602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "008203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.