Jennifer Nasrin Paul, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00701700 Issued in NJ

Practice address

3261 U.S. Hwy. 27/441
Suite A1
Fruitland Park, FL 34731

Phone

(352) 750-1200

Fax

(352) 750-1611

NPI assigned

Jul 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bayshore Rehab Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Holmdel, NJ
  • NPI 1033153135
  NPD (past)
• Hoboken Integrated Health Care LLC

  • Chiropractor
  • Morristown, NJ
  • NPI 1174719744
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1184989295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 U.S. HWY. 27/441",
            "address_2": "SUITE A1",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "34731",
            "telephone_number": "352-750-1200",
            "fax_number": "352-750-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 U.S. HWY. 27/441",
            "address_2": "SUITE A1",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "34731",
            "telephone_number": "352-750-1200",
            "fax_number": "352-750-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JENNIFER",
        "middle_name": "NASRIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00701700",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Caring Services
• Orlando Dermatology Clinic, LLC
• Paul Ouimet, PTA
• Bianca M Parker
• Annette Passalacqua
• Uma Persaud
• Alysha Pettis
• Piney Ridge Blvd, LLC
• Restoration Spine and Sport, LLC
• Daisy Rivera

• Chiropractor in Fruitland Park, FL
• Providers in Fruitland Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.